Case 42: A 57-Year-Old Woman for Annual Check-up History Diagnosis History A 57-year-old woman with no cardiac symptoms and good exercise tolerance, is at her family doctor’s office for her annual check-up, including a routine ECG: Diagnosis Unusual P axis, possible ectopic atrial rhythm otherwise, a normal ECG The P wave is positive in …
Case 42: A 57-Year-Old Woman for Annual Check-up Read More »
Case 43: A 59-Year-Old Man in Clinic with Fatigue History Diagnosis History A 59-year-old man is at his family doctor’s for complaint of one week history of marked tiredness: Diagnosis Sinus rhythm with complete heart block Wide-QRS escape rhythm (right bundle branch block pattern) Ventricular rate 39/min There is sinus rhythm with rate 67 …
Case 43: A 59-Year-Old Man in Clinic with Fatigue Read More »
Case 44: A 75-Year-Old Woman Complaining of Tiredness History Diagnosis History A 75-year-old woman, with a 20 year history of hypertension and angina is presenting with complaints of tiredness and easy fatigue: Diagnosis Coarse atrial fibrillation with slow ventricular response (40/min) Left ventricular hypertrophy Marked ST and T abnormality, consider anterolateral ischemia The recent onset …
Case 44: A 75-Year-Old Woman Complaining of Tiredness Read More »
Case 45: A 59-Year-Old Woman with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 59-year-old woman with a history of infrequent episodes of tachycardia (starting and ending abruptly) since her teens that are often terminated by Valsalva maneuver is presenting to the Emergency department during one of her typical episodes: Diagnosis AV Nodal …
Case 46: A 81-Year-Old Hypertensive Woman History Disgnosis History A 81-year-old woman with a history of hypertension, paroxysmal atrial fibrillation, and a previous stroke presents to the cardiology clinic for follow-up: Disgnosis Sinus rhythm Left bundle branch block ECG ID: E167
Case 47: A 44-Year-Old Man with Pre-operative ECG History Diagnosis History A 44-year-old man with no cardiac complaints is scheduled to undergo removal of a benign rectal tumor: Diagnosis Sinus rhythm Left anterior fascicular block ECG ID: E165
Case 48: A 82-Year-Old Man with an Episode of Syncope History Diagnosis History A 82-year-old man with complaints of weakness and fatigue during the past week is brought to the Emergency Department after an episode of sudden loss of consciousness that lasted approximately 10 minutes: Diagnosis Sinus rhythm, 80/min with complete heart block Wide-QRS rhythm, 37/min, …
Case 48: An 82-Year-Old Man with an Episode of Syncope Read More »
Case 49: A 70-Year-Old Woman with Episodes of Palpitation History Diagnosis History A 70-year-old diabetic woman who is on digoxin and a beta-blocker is presenting to the emergency department complaining of palpitation: Diagnosis Atrial fibrillation followed by restoration of sinus rhythm ST abnormality, possibly secondary to digoxin Comment: This patient had been experiencing episodes of …
Case 49: A 70-Year-Old Woman with Episodes of Palpitation Read More »
Case 50: A 59-Year-Old Woman in the Cardiac Clinic History Diagnosis History A 69-year-old diabetic woman is seen for follow-up visit in the Cardiac Clinic one month after three-vessel aorto-coronary bypass: Diagnosis Atrial flutter with variable AV conduction Left axis deviation ECG ID: E126
Case 51: A 67-Year-Old Woman Complaining of Palpitation History Diagnosis History A 67-year-old woman has experienced episodes of paroxysmal palpitation since her early 40s. They are infrequent (one every 3-4 years) and last from a few minutes to a few hours. No precipitating factors have been identified. She denies drinking alcohol. This ECG was recorded …
Case 51: A 67-Year-Old Woman Complaining of Palpitation Read More »
