Case 22: A 61-Year-Old Man with Palpitations History Diagnosis ECG 2 Compare ECG 1 vs ECG 2 History A 61-year-old man has developed rapid palpitation with dyspnea and weakness while in the recovery room after GU surgery: Diagnosis Supraventricular tachycardia, rate 152/min Negative P waves in the inferior leads, positive P waves in aVR and …
Case 23: A 63-Year-Old Man in the Intensive Care Unit History Diagnosis History A 63-year-old man with an extensive pulmonary carcinoma is admitted to the Intensive Care Unit with pneumonia and bilateral pleural effusion: Diagnosis Atrial fibrillation with rapid ventricular response (ventricular rate 206/min) Two premature ventricular complexes ST and T abnormality, consider lateral ischemia …
Case 23: A 63-Year-Old Man in the Intensive Care Unit Read More »
Case 24: A 76-Year-Old Man Seen for a Routine Assessment History Diagnosis History An active 76-year-old man with no cardiac complaints is seen by his family physician for a routine assessment: Diagnosis Sinus bradycardia, 56/min Incomplete right bundle branch block (iRBBB) The ECG of this patient had been known to show incomplete right bundle branch …
Case 24: A 76-Year-Old Man Seen for a Routine Assessment Read More »
Case 25: A 58-Year-Old Woman with Recent Onset of Angina History Diagnosis History A 58-year-old diabetic hypertensive woman is admitted with a one-day history of episodes of retrosternal chest pain at rest and with mild exercise: Diagnosis Sinus bradycardia, 50/min ST and T wave abnormality, consider anterior ischemia On admission there was elevated troponin level …
Case 25: A 58-Year-Old Woman with Recent Onset of Angina Read More »
Case 26: A 23-Year-Old Woman with History of Palpitation History Diagnosis History A 23-year-old woman is presenting with complains of occasional palpitation for the past 3 years, that she describes as the sensation of forceful isolated thumps in her chest, particularly in the evening. She has no other symptoms and is normally active: Diagnosis Sinus bradycardia, …
Case 26: A 23-Year-Old Woman with History of Palpitation Read More »
Case 27: A 70-Year-Old man in the Emergency Department History Diagnosis History A 70-year-old man with a long history of coronary artery disease is in the Emergency Department complaining of dyspnea: Diagnosis Electronic pacemaker Normal sinus rhythm, 60/min DDD pacing (atrial sensed, ventricular paced rhythm) The atrial activation (P) is sensed and is followed by …
Case 27: A 70-Year-Old man in the Emergency Department Read More »
Case 28: A 69-Year-Old Woman in the ED with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 69-year-old woman with a five year history of occasional episodes of rapid palpitation, starting and ending abruptly, lasting from minutes to one hour, and accompanied by neck pulsations, weakness and dyspnea, presents to Emergency Department two …
Case 28: A 69-Year-Old Woman in the ED with Palpitation Read More »
Case 29: A 47-Year-Old Woman with Palpitation History Diagnosis History A 57-year-old woman is seen in the pre-anaesthetic clinic prior to a gynaecological procedure. She reports frequent palpitations over the past six months, particularly in the evening: Diagnosis Sinus rhythm with premature atrial complexes in a pattern of bigeminy Otherwise, a normal ECG. Heart rate …
Case 30: A 60-Year-Old Man with Unstable Angina History Diagnosis History A 60-year-old man with a 3-year history of coronary artery disease is admitted to the Cardiac Care Unit with unstable angina: Diagnosis Sinus bradycardia, 51/min Right bundle branch block Marked T wave abnormality, compatible with ischemia Coronary angiography demonstrated triple-vessel coronary artery …
Case 31: A 68-Year-Old Man with Palpitation and Dyspnea History Diagnosis History This 68-year-old man with a longstanding history of coronary artery disease is brought to the Emergency Department complaining of palpitations, dyspnea and faintness: Diagnosis Ventricular tachycardia The diagnosis of ventricular tachycardia is supported by: The clinical presentation: patient with known coronary artery disease, …
Case 31: A 68-Year-Old Man with Palpitation and Dyspnea Read More »
