Case 1: A 78-Year-Old Woman in the Cardiology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 78-year-old woman with moderately severe mitral regurgitation due to mitral valve prolapse is followed in the cardiology clinic. Her condition is stable and has no cardiac symptoms: Diagnosis Sinus rhythm, 84/min Normal …
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Case 2: A 65-Year-Old Man in the Intensive Care Unit History Diagnosis History A 65-year-old man with severe chronic obstructive lung disease has been admitted to the intensive care unit for treatment of broncho-pneumonia: Diagnosis Sinus tachycardia, 110/min Biatrial enlargement Right superior axis deviation Comment: This ECG shows typical findings seen in patient with chronic …
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Case 3: A 51-Year-Old Man with Blunt Injury to the Anterior Chest History Diagnosis ECG 2 ECG 2 Diagnosis History A 51-year-old man was repairing a truck when he was hit in his anterior chest by a malfunctioning air bag. Shortly afterwards he developed very severe chest pain and an ambulance was called. He is brought …
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Case 4: A 79-Year-Old Man in the Emergency Department with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 79-year-old man was referred to the Emergency Department by his family physician. During the past 12 hours he had been complaining of palpitation, weakness and dyspnea. He had been well treated for hypertension. Prior to …
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Case 5: A 78-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old woman is admitted to the cardiovascular ICU after repair of a ruptured abdominal aortic aneurysm. She is known to have a congenital cardiac abnormality: Diagnosis P waves negative in lead I, positive in lead 2 – …
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Case 6: A 38-Year-Old Man in the Emergency Department History Diagnosis History A 38-year-old man is in the Emergency Department with severe abdominal and back pain due to a sickle cell crisis. For the past year he has complained of palpitation precipitated by stress: Diagnosis Sinus tachycardia, 107/min Frequent premature atrial complexes in a pattern …
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Case 7: A 75-Year-Old Man in the Emergency Department History Diagnosis History This ECG of a 75-year-old man has been recorded in the Emergency Department. No clinical information has been supplied and no previous ECGs are available for comparison: Diagnosis Sinus rhythm, 85/min with frequent premature ventricular complexes in a pattern of bigeminy Left ventricular hypertrophy …
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Case 8: A 66-Year-Old Man with Severe Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 66-year-old man was attending a play in a downtown theater when he developed severe anterior chest pain. His wife accompanied him to the emergency department of a nearby hospital, where this ECG …
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Case 9: A 53 Year-Old Woman Presents to ER with Sustained Palpitations History Diagnosis History A 53 year-old woman with a history of palpitations since her teenage years presents to the emergency room with an episode of sustained palpitations that have lasted over one hour. Diagnosis Supraventricular tachycardia, likely atrioventricular reentrant tachycardia (AVRT), rate 194/min …
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Case 10: A 27-Year-Old Man in the Emergency Department History Diagnosis History A 27-year-old man is brought to the emergency department after he was accidentally hit by flying pieces of glass from a broken apartment window. His wounds were not severe and required a few stitches. The ECG was recorded when irregularity of his pulse was …
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