Case 8: A 32-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 32-year-old woman with a long-standing history of palpitation varying from moderately rapid and regular to “a few thumps” in the precordium has the following ECG recorded during a typical episode of rapid palpitation: Diagnosis Ventricular tachycardia, 115/min. The QRS …
Case 9: A 59-Year-Old Man in the Cardiac Surgery Intensive Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History A 59-year-old man is in the cardiac surgery ICU 5 hours after replacement of his aortic valve because of aortic stenosis: Diagnosis Atrial fibrillation with AV dissociation – Accelerated idioventricular rhythm, rate 73/min Consider the …
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Case 10: A 29-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis History This 29-year-old woman with Marfan’s syndrome is in the cardiac surgical intensive care unit 2 days after Bentall procedure (replacement of the aortic valve, aortic root and ascending aorta): Diagnosis Sinus rhythm with 2:1 second degree AV block and junctional escape complexes (escape-capture …
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Case 11: A 20-Year-Old Woman Who Fainted History Diagnosis History This 20-year-old woman is admitted after an episode of syncope. She has a strong family history of sudden cardiac death: Diagnosis Sinus rhythm, 96/min.QT/QTc = 400/505 msec. Comments: A twin sister and a paternal aunt of the patient had suffered sudden death. In view of the …
Case 12: A 33-Year-Old Woman Who Had a Cardiac Arrest History Diagnosis History This 33-year-old woman, who had an episode of cardiac arrest following a minor motor-vehicle accident, is transferred to a secondary-care hospital for further care. Ventricular fibrillation was shown on monitor to have been caused by a pause-dependent late-coupled premature ventricular complex. On …
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Case 13: A 62-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 62-year-old man with a history of episodes of paroxysmal tachy-arrhythmias for several years is brought to the emergency department complaining of palpitation and dyspnea of 1 1/2 hrs duration: Diagnosis Atrial tachycardia, …
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Case 14: A 43-Year-Old Man in the Emergency with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 43-year-old man has a history of paroxysmal narrow QRS tachycardia for over 20 years. The episodes were at first infrequent and terminated spontaneously, however, during the past 2 years they had been occurring every 2-3 months …
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Case 15: A 32-Year-Old Man with Sickle Cell Disease History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with sickle cell disease is seen in the hematology outpatient clinic. He has suffered from numerous episodes of sickle cell crisis. He has chronic renal insufficiency. His condition has been …
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Case 16: A 58-Year-Old Man in the Pre-Anaesthesia Clinic History Diagnosis ECG 2 ECG 2 Diagnosis Explanation History This 58-year-old man is being assessed by the anesthesia staff prior to prostatic surgery. He has no cardiac complaints. A routine ECG is obtained: Diagnosis In lead III the QRS complex is tiny (“collapsed”) and the P …
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Case 17: A 70-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 70-year-old woman with a history of palpitation during the past 2 months is seen in the emergency department with recurrence of palpitation and dyspnea: Diagnosis Atrial Fibrillation – Ventricular rate 113/min Incomplete right bundle branch block (iRBBB) …
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