Case 158: A 50-Year-Old Man with Severe Chest Pain History Diagnosis History This 50-year-old man presents to the Emergency Department with severe central anterior chest pain for the past hour: Diagnosis Sinus rhythm with Mobitz I second degree AV block Acute inferior infarction The taller T wave in V2 in a patient with an inferior …
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Case 159: A 75-Year-Old Woman who had a Recent CABG History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 75-year-old woman is on the cardiac surgery ward two days after coronary artery bypass surgery: Diagnosis Atrial fibrillation with a junctional escape rhythm (rate 46/min). Consider the possibility of complete heart …
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Case 160: A 65-Year-Old Man with a Previous Myocardial Infarction History Diagnosis History This 65-year-old man is seen in the cardiac clinic for a routine follow-up visit. He had a myocardial infarction two years earlier, but has been free of angina with moderate exertion. Lately, he reports feeling more easily fatigued: Diagnosis Atrial flutter with …
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Case 161: A 43-Year-Old Man in the Pre-Admission Clinic History Diagnosis Chest X-Ray History A 43-year-old man is seen in the pre-admission clinic prior to his upcoming thyroidectomy, and a routine ECG is performed: Diagnosis Dextrocardia Likely Sinus Rhythm Premature Ventricular Complex The negative P-wave and QRS complex in lead I along with the R …
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Case 162: A 76 Year-Old Woman after Recent Abdominal Surgery History Diagnosis History A 76 year old woman is seen on the general surgery floor after recent abdominal surgery because of an abnormal ECG as pictured below. The patient is asymptomatic. Diagnosis Sinus rhythm with both Mobitz I Second Degree AV Block and 2:1 AV …
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Case 163: A 78 Year-Old Woman in ER with Palpitations History Diagnosis History A 78 year old woman with remote history of myocardial infarction presents to the ER with palpitations and persistent heart rate over 100bpm for the last several days. Diagnosis Atrial Flutter with 2:1 AV conduction Anteroseptal myocardial infarction Comment: When 2:1 conduction …
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Case 164: A 71Year-Old Man Presents to ER with Severe Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 71 year-old man was awakened with severe chest pain. He called paramedics who treated him with ASA and brought him to the ER. Upon arrival, he was pain free. …
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Case 165: A 65 Year-Old Woman Presents to ER with Syncope History Diagnosis ECG 2 ECG 2 Diagnosis History A 61 year-old woman presents to the ER with syncope. She is brought to ER via EMS and is awake but hypotensive and tachycardic. She has a background history of hypertension, active smoking, type 2 diabetes, …
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Case 166: A 76 Year-Old Woman in the Coronary ICU History Diagnosis History This 76 year-old woman presented to hospital with chest pain. She was admitted to the coronary care unit and the following ECG was recorded 2min after the onset of severe chest pain. Diagnosis Polymorphic Ventricular Tachycardia Comment: This 12 lead ECG shows …
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Case 167: A 64 Year-Old Woman Two Days After TAVR History Diagnosis ECG 2 ECG 2 Diagnosis History A 64yr woman undergoes transcatheter aortic valve replacement (TAVR) for severe symptomatic aortic stenosis. The following ECG is recorded 2 days after her surgery. Diagnosis Sinus rhythm, 100/min RBBB, LAFB (Bifascicular block) Transient complete heart block with …
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