Case 109: A 24-Year-Old Man with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 24-year-old man was in a nightclub. He had one drink and one joint of marijuana and shortly afterward developed severe palpitations, dyspnea and faintness. During the previous 6 months he had experienced palpitations 2-3 …
Case 110: A 59-Year-Old Man in the Emergency Department History Diagnosis History This 59 year old man has been referred to the emergency department by his family physician because of episodes of faintness and weakness during the past several weeks and the abnormal ECG Diagnosis Sinus rhythm with 1st degree AV block Frequent junctional premature …
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Case 111: A 63-Year-Old Man with Prosthetic Aortic Valve History Diagnosis ECG 2 ECG 2 Diagnosis History A 63-year-old man, is presenting 6 months after replacement of aortic valve because of severe symptomatic aortic stenosis. After surgery he did well and was asymptomatic until one week ago, when he started complaining of tiredness, weakness, and …
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Case 112: A 73-Year-Old Man in the Arrhythmia Clinic History Diagnosis History A 73-year-old man is seen in arrhythmia clinic for routine follow-up. He is asymptomatic. His ECG is recorded below: Diagnosis Atrial fibrillation Intermittent left bundle branch block pattern secondary to phase IV block ECG ID: E802
Case 113: A 46 Year-Old Woman in Defibrillator Clinic History Diagnosis History A 46 year old woman with a long-standing history of ARVC (arrhythmogenic right ventricular cardiomyopathy) presents to defibrillator clinic for routine follow-up. Her ECG is recorded below. Diagnosis Sinus Rhythm Cannot rule out anterior infarction (poor R-wave progression) T-wave inversions in V1-V3 and …
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Case 114: A 25 Year-Old Female with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 25 year old female with 5 year history of intermittent palpitations presents to the ER with a one hour history of sustained palpitations. She had previously been seen by a cardiologist and had been found to have a …
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Case 115: A 61 Year-Old Woman in the Defibrillator Clinic History Diagnosis History A 61 year old woman with a longstanding history of non-ischemic cardiomyopathy is seen in defibrillator clinic for routine follow-up. She states that she has been somewhat more short of breath in the last several weeks. Diagnosis Underlying sinus rhythm AV sequential …
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Case 116: An 80 Year-Old Man with Intermittent Palpitations History Diagnosis History An 80 year old man is referred for intermittent palpitations. A Holter monitor is ordered and an episode of palpitations that lasted for approximately 30 minutes is recorded. The onset and termination are shown below: Diagnosis Initially Sinus rhythm Premature atrial complex …
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Case 117: A 17 Year-Old Woman with an Abnormal ECG History Diagnosis History A 17 year old woman is admitted to the psychiatry service. Prior to starting medications, a routine ECG is performed and shown below: Diagnosis Marked sinus bradycardia (P-waves noted with “P”) Junctional Escape Rhythm Intermittent Capture beats (3rd complex) Comment: The p-waves …
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Case 118: A 57 Year-Old Man with Palpitations History Diagnosis History A 57yr man undergoes a Holter monitor (shown below) after complaining of intermittent sudden onset, sudden offset palpitations. Diagnosis Sinus Rhythm Premature Atrial Beat initiates Supraventricular Tachycardia with “long RP” Premature Ventricular Beat terminates Supraventricular Tachycardia Comment: The first panel shows sinus rhythm followed …
