Case 18: A 46-Year-Old Man with Non-Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History A 46-year-old man with a nonischemic dilated cardiomyopathy most likely secondary to a viral myocarditis from which he suffered 8 years earlier whom at the time of his myocarditis had a pacemaker implanted because of second degree AV block …
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Case 19: A 67-Year-Old Man in Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 67-year-old man is admitted because of congestive heart failure due to ischemic cardiomyopathy. Ten years ago he had a myocardial infarction complicated by episodes of ventricular tachycardia, for which he received an ICD (Implantable Cardioverter Defibrillator) implant. …
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Case 20: A 53-Year-Old Woman with Episodes of Severe Faintness History Diagnosis ECG 2 ECG 2 Diagnosis History This 53-year-old woman is admitted to the neurology ward following an acute visual field loss. She gave a history of several episodes of near-syncope in the past year. This ECG is recorded: Diagnosis Marked sinus bradycardia (sinus …
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Case 21: A 56 Year-OId Man in the Arrhythmia Clinic History Diagnosis History A 56-year-old man is in the arrhythmia clinic: Diagnosis Electronic ventricular pacemaker, VVI mode The underlying rhythm is sinus bradycardia, 50/min, with first degree AV block Paced ventricular rhythm, 66/min, with occasional fusion complexes and AV capture ECG ID: E623
Case 22: A 43-Year-Old Man with Muscular Dystrophy History Diagnosis History A 43-year-old man with Becker muscular dystrophy is in assisted-living state and is ventilation-dependent and on G-tube feeding: Diagnosis Sinus tachycardia, 122/min Tall R waves in V1-V3 Non-specific ST abnormality Comment: The tall R waves in the right precordial leads in muscular dystrophy are …
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Case 23: A 36-Year-Old Man in the ER with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 36-year-old man is presenting to the Emergency Department with palpitation, anterior chest discomfort, dyspnea and presyncope. The symptoms had started 45 min earlier. During the previous 4 weeks he had experienced 2 similar episodes that had terminated …
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Case 24: A 23-Year-Old Woman in the EP Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 23-year-old woman since her teens has suffered from episodes of rapid palpitation of sudden onset and termination, lasting 20-40 minutes, terminating spontaneously. She is referred to the EP clinic because of a recent episode that lasted 4 hours. …
Case 25: A 62-Year-Old Man with Episodes of Presyncope History Diagnosis ECG 2 ECG 2 Diagnosis History This 62-year-old hypertensive diabetic man is referred to the cardiac clinic because of frequent episodes of near-syncope during the past week. He had aorto-coronary bypass surgery 9 years earlier and had been stable and free of chest pain …
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Case 26: A 55-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History A 55-year-old man with end-stage renal disease, is in the emergency department complaining of severe weakness. He had been suffering from an upper respiratory infection with fever and …
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Case 27: A 59-Year-Old Man in the Emergency Department History Diagnosis History This 59-year-old man was brought to the Emergency Department after an episode of sudden syncope lasting three minutes while at work. On arrival, he had no complaints. His vitals and neurological examination were normal. He reports two occasions during the past three months where …
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