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Case 52: A 19-Year-Old Man seen after an Accidental Fall

Practice Level 2

Case 52: A 19-Year-Old Man seen after an Accidental Fall History Diagnosis History A 19-year-old man is seen in the Emergency Department after an accidental fall on the subway stairs.The ECG is recorded because he was complaining of chest wall tenderness: Diagnosis Marked sinus bradycardia (45/min) with sinus arrhythmia ST elevation, compatible with early repolarization …

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Case 53: A 73-Year-Old Woman with a Prosthetic Cardiac Valve

Practice Level 2

Case 53: A 73-Year-Old Woman with a Prosthetic Cardiac Valve History Diagnosis History A 73-year-old woman had replacement of a cardiac valve 3 years ago, with very satisfactory results: Diagnosis Sinus rhythm Left ventricular hypertrophy with repolarization abnormality This lady had aortic valve replacement because of severe symptomatic aortic stenosis. There was marked improvement after …

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Case 55: An 84-Year-Old Woman with Palpitations

Practice Level 2

Case 55: A 84-Year-Old Woman Complaining of Palpitation History Diagnosis History A 84-year-old woman, independent and fairly active for her age and on medication for moderate systolic hypertension is presenting to her family physician’s office with recent complaints of palpitation, that she describes as “thumps” in her chest: Diagnosis Sinus rhythm with premature atrial complexes …

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Case 56: A 30-Year-Old Man with Chest Pain

Practice Level 2

Case 56: A 30-Year-Old Man with Chest Pain History Diagnosis History A 30 year old man is seen in the Emergency Department for a one day history of anterior chest pain. Diagnosis Sinus tachycardia (104/min) Acute pericarditis   On auscultation there was a pericardial friction rub, that confirmed the diagnosis. ECG ID: E109