Case 88: A 79-Year-Old Man in the Cardiac Surgical ICU History Diagnosis History This 79-year-old man who had severe aortic stenosis is in the cardiac surgery ward 6 hours after successful aortic valve replacement: Diagnosis Marked sinus bradycardia with an escape junctional pacemaker Ventricular rate 47/min Non-specific T wave abnormality ECG ID: E773
Case 89: A 59-Year-Old Man After Mitral Valve Surgery History Diagnosis CXR ECG 2 ECG 2 Diagnosis History A 59-year-old man is noted to have a complete heart block after mitral valve surgery and undergoes a VVIR pacemaker implantation on post-operative day 5. You are called routinely after the surgery to assess his post-procedure ECG: …
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Case 91: 78 Year-Old Woman in the Cardiology Ward History Diagnosis History This 78-year-old woman with a long-standing history of coronary artery disease is admitted to the cardiology ward for treatment of congestive heart failure: Diagnosis Sinus rhythm with sinus arrhythmia and premature atrial beats – Ventricular rate 64/min AV dissociation due to a competing junctional rhythm …
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Case 92: A 68-Year-Old Man with Episodes of Near Syncope History Diagnosis ECG 2 ECG 2 Diagnosis History A 64-year-old retired police officer has been experiencing during the past year almost daily episodes of lightheadedness and occasionally “near-fainting”, lasting 2-5 minutes. He has been otherwise in excellent state of health and exercised regularly and vigorously: Diagnosis …
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Case 93: An 83-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 83-year-old woman has been brought to the emergency department 1 1/2 hours after onset of rapid palpitation associated with dyspnea and weakness. She had experienced 2 similar episodes during the past year, which were treated in another hospital: Diagnosis Atrial …
Case 94: A 73-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old man is in the Emergency Department with severe palpitation and dyspnea of 1 1/2 hour duration: Diagnosis Supraventricular tachycardia, rate 246/min Probably atrial flutter with 1:1 AV conduction Comment: When atrial flutter is conducted in a 1:1 fashion, …
Case 95: A 76-Year-Old Woman with Episodes of Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 76-year-old woman with hypertension and arthritis has a long history of episodes of paroxysmal palpitation, associated with dyspnea, weakness and often neck pulsation. Her medication includes digoxin and sotalol. She is in …
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Case 96: An 81-Year-Old Man in the Intensive Care Unit History Diagnosis History An 81-year-old is man admitted to the ICU with staphylococcus endocarditis of his bioprosthetic aortic valve, with large valvular vegetations and cerebral septic emboli: Diagnosis Sinus rhythm with Mobitz II second degree AV block (3:2) – Ventricular rate 74/min Intermittent right bundle …
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Case 97: A 68-Year-Old Woman in the ER History Diagnosis History A 68-year-old woman is referred by her family doctor to the emergency department for recent episodes of severe weakness and lightheadedness: Diagnosis Sinus rhythm with second degree AV block and junctional escape complexes. ventricular rate 38/min Minimal criteria for left ventricular hypertrophy (R in V5 …
Case 98: An 80-Year-Old Woman with Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History An 80-year-old is presenting woman with ischemic cardiomyopathy and advanced heart failure (New York Hear Association class III), despite optimal medical therapy. Left ventricular ejection fraction is 27%. Diagnosis Sinus rhythm, 60/min Left bundle branch block – QRS duration …
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