ecgmadesimple, Author at ECG Made Simple

Case 38: A 75-Year-Old Man in the Emergency Department

Case 38: A 75-Year-Old Man in the Emergency Department History Diagnosis History A 75-year-old man with a longstanding history of coronary artery diseases is in the emergency department complaining of weakness, dyspnea and occasional faintness during the past 2 days: Diagnosis Very slow ectopic atrial rhythm (atrial rate 21/min) with junctional escape complexes (escape-capture bigeminy) …

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Case 39: A 63-Year-Old Man with Recent Episode of Chest Pain

Practice Level 5

Case 39: A 63-Year-Old Man with Recent Episode of Chest Pain History Diagnosis History This 63-year-old man had been well and very active until 6 weeks ago, when he started experiencing occasional episodes of anterior chest pain during exertion, relieved by rest. About 10 days later he awoke with severe pain across his anterior chest, …

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Case 40: A 73-Year-Old Man who Fainted

Practice Level 5

Case 40: A 73-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 73-year-old man is brought to the Emergency Department after an episode of sudden loss of consciousness that lasted 5-10 minutes. In the previous several weeks he had felt tired and weak: Diagnosis Sinus rhythm with …

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Case 41: A 48-Year-Old Man with Palpitation

Practice Level 5

Case 41: A 48-Year-Old Man with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 48-year-old man presented to the Emergency Department complaining of palpitation that had started suddenly 1 hour earlier, associated with dyspnea and weakness. He had experienced 3-4 episodes of palpitation in the past 15 years, …

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Case 42: A 25-Year-Old Woman with Palpitation

Practice Level 5

Case 42: A 25-Year-Old Woman with Palpitation History Diagnosis History This 25-year-old woman has been referred to the EP clinic. In the past 5 years she has had episodes of rapid palpitation of sudden onset and termination, lasting up to one hour. The episodes were infrequent (about once a year), until recently, when they had …

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Case 43: A 51-Year-Old Woman with History of Palpitations

Practice Level 5

Case 43: A 51-Year-Old Woman with History of Palpitations History Diagnosis History A 51-year-old woman had been seen in the EP clinic because of episodes of palpitation that started in her early teens. Recently they had become more frequent and prolonged and she had been in the Emergency Department three times in the past 6 …

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Case 44: A 23-Year-Old Woman in the EP Clinic

Practice Level 5

Case 44: A 23-Year-Old Woman in the EP Clinic History Diagnosis History A 23-year-old woman is referred to the Arrhythmia Clinic because of occasional brief episodes of palpitation, with sensation of anterior chest pounding, subsiding spontaneously: Diagnosis Sinus rhythm Wolff Parkinson White (preexcitation) Anteroseptal accessory pathway Comments: The location of the accessory pathway can …

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Case 45: A 31-Year-Old Man in the EP Clinic

Practice Level 5

Case 45: A 31-Year-Old Man in the EP Clinic History Diagnosis History A 31-year-old man is referred to the EP Clinic because of 3 episodes of palpitation in the past year, with very rapid precordial pounding, chest discomfort, faintness, and 2 brief episodes of loss of consciousness. The arrhythmia is treated with Adenosine: Diagnosis Sinus …

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Case 46: A 16-Year-Old Woman in the EP Clinic

Practice Level 5

Case 46: A 16-Year-Old Woman in the EP Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 16-year-old woman is referred to the EP clinic because of episodes of palpitation during the past year: Diagnosis Sinus Rhythm Wolff-Parkinson-White Comment: EP studies demonstrated the presence of a right postero-septal bypass that was successfully ablated (see …

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Case 47: A 51-Year-Old Man in the Cardiac Clinic

Practice Level 5

Case 47: A 51-Year-Old Man in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 51-year-old truck driver experienced 1-2 episodes a year of rapid palpitation since his twenties. 1 years ago he suffered from a myocardial infarction and was treated with angioplasty and stenting of his right coronary artery. He had …

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