Case 28: A 32-Year-Old Woman Found Unconscious at Home History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History This 32-year-old woman is found unconscious by a friend on her apartment’s floor. Near her was an empty medication bottle: Diagnosis Sinus rhythm, 63/min Wide P waves (P …
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Case 29: A 48-Year-Old Man in the ER with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 48-year-old man has had frequent episodes of rapid palpitation since childhood, lasting 10-15 minutes, not associated with chest pain, dyspnea or faintness. He was investigated in a pediatric hospital and treated …
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Case 30: A 75-Year-Old Man with Unstable Angina History Diagnosis History A 75-year-old man is in the cardiac ward for investigation of unstable angina: Diagnosis Sinus rhythm with premature ventricular complexes, followed by AV dissociation due to an accelerated idioventricular rhythm One fusion complex ECG ID: E533
Case 31: A 46-Year-Old Woman with Cyanosis and Clubbing History Diagnosis History A 46-year-old woman known to have cyanotic congenital heart disease, is severely disabled: Diagnosis Sinus Rhythm First degree AV block Right atrial enlargement Incomplete right bundle branch block (iRBBB) Left anterior fascicular block Possible right ventricular hypertrophy Voltage criteria for left ventricular hypertrophy …
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Case 32: A 73-Year-Old Man Referred to the EP Clinic History Diagnosis History This 73-year-old man is referred to the EP Clinic because of occasional episodes of tachyarrhythmia: Diagnosis Sinus tachycardia Frequent premature atrial complexes (PACs) Short runs of atrial tachycardia with aberrant conduction Left anterior fascicular block ECG ID: E531
Case 33: A 50-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History This 50-year-old man with ischemic cardiomyopathy is seen in the anaesthesia clinic in preparation for cardiac surgery: Diagnosis Suspect lead placement error (Left Arm-Left Leg Lead Reversal) in patient with left bundle branch block Comments: The interpretation of the computerized …
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Case 34: A 71-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis History A 71-year-old woman has the following ECG recorded 2 days after surgical closure of an atrial septal defect: Diagnosis Ectopic atrial bradycardia AV dissociation with an escaping junctional pacemaker and occasional AV capture with a long PR (320 msec) Atrial rate 45/min …
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Case 35: A 66-Year-Old Man in the Emergency Department History Diagnosis History A 66-year-old man is in the Emergency Department: Diagnosis Sinus bradycardia with marked sinus arrhythmia – Ventricular rate 56/min Occasional junctional escape complexes Incomplete right bundle branch block (iRBBB) alternating with complete right bundle branch block (rate-related aberrancy) ECG ID: E528
Case 36: A 79-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 79-year-old man is admitted with infective endocarditis and a para-aortic abscess. He underwent aortic valve replacement and debridement of the abscess: Diagnosis Atrial Flutter Complete heart block with escape accelerated junctional rhythm (76/min} Poor …
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Case 37: An 82-Year-Old Woman with Weakness and Dyspnea History Diagnosis ECG 2 ECG 2 Diagnosis History An 82-year-old woman is brought to the Emergency Dept. from a nursing home because of weakness and dyspnea on mild exertion. She is been on a beta-blocker for moderate hypertension: Diagnosis Atrial tachycardia with 2:1 AV conduction; ventricular …
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