Case 99: A 78-Year-Old Man with a Subdural Hematoma History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old man had an episode of loss of consciousness at home during which he suffered from a subdural hematoma. This ECG is recorded in the Emergency Department: Diagnosis Sinus rhythm, 75/min, with Mobitz II second degree AV block …
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Case 100: A 66-Year-Old Man in the EP Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 66-year-old man with a 20 year history of coronary artery disease and ventricular arrhythmias had an ICD implanted 14 years ago. He is seen for a reassessment in the ICD clinic: Diagnosis Ventricular tachycardia, 112/ min Comment: …
Case 101: A 52-Year-Old Man Seen in Cardiac Clinic History Diagnosis History This 52-year-old man with history of hypertension and episodes of paroxysmal atrial fibrillation is seen in the cardiac clinic for follow-up assessment: Diagnosis Sinus bradycardia with sinus arrhythmia – Atrial rate 48, min AV dissociation, with junctional escape rhythm and occasional AV capture …
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Case 102: A 61-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 62-year-old woman is in the cardiac ICU following aortic valve replacement because of aortic stenosis: Diagnosis AV Dissociation Marked sinus bradycardia with sinus arrhythmia and a ventricular escape rhythm, 43/min. One …
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Case 103: A 65-Year-Old Man in the Emergency Room History Diagnosis History A 65-year-old man is referred to the Emergency Room by his family physician because of several episodes of faintness during the past 2 days. Diagnosis Sinus rhythm with 3:2 Mobitz II second degree AV Block Ventricular rate 56/min Alternating right bundle branch block and …
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Case 104: A 62-Year-Old Woman with Mild Well-Controlled Hypertension History Diagnosis History This 62-year-old woman with mild well controlled hypertension and good exercise tolerance was first discovered to have an abnormal ECG two years ago during a routine assessment. The ECG findings are unchanged. She has been referred to the cardiac clinic because of a …
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Case 105: A 78-Year-Old Man in the Emergency Department History Diagnosis History A 78-year-old man is in the Emergency Department complaining of severe palpitation that started one hours earlier, associated with dyspnea and weakness: Diagnosis Wide QRS tachycardia, Ventricular rate 116/min Capture and fusion complexes, which are evidence of AV dissociation, support the diagnosis of …
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Case 106: A 68-Year-Old Woman on the General Surgery Floor History Diagnosis ECG 2 ECG 2 Diagnosis History A 68-year-old is admitted for surgical treatment of a small bowel carcinoma. Recently she has complained of episodes of weakness and faintness: Diagnosis Sinus rhythm with Mobitz II second degree AV block Left bundle branch block Comment: Symptoms …
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Case 107: A 69-Year-Old Man on the Cardiac Ward History Diagnosis History This 69-year-old man is in the cardiac ward 6 days after an acute infarction. His condition is stable and he is pain-free: Diagnosis Sinus rhythm with Mobitz II second degree AV block Inferoposterior myocardial infarction (inferior Q waves with tall RV1) Comment: Note …
Case 108: A 66-Year-Old Man Admitted to the Cardiac Ward History Diagnosis History A 66-year-old man is admitted for investigation of angina. 5 weeks earlier he had been in another hospital with an acute myocardial infarction. After discharge he complains of frequent angina on mild to moderate exercise: Diagnosis Junctional tachycardia, 110/min Left anterior fascicular …
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