Level 4 Welcome to level 4 of our ECG practice cases. Select a case below to get started: Case 1: A 53-Year-Old Man with Shortness of Breath Case 2: A 68-Year-Old Woman with Intermittent Presyncope Case 3: A 42-Year-Old Man with Chest Pain Case 4: A 44-Year-Old Man in the Cardiac Clinic Case 5: A 69-Year-Old Man in the Cardiac Clinic Case 6: An 80-Year-Old Man in the Cardiac Surgery Ward Case 7: A 75-Year-Old Man in the CCU Case 8: A 76-Year-Old Man in the Emergency Department Case 9: A 79-Year-Old Woman in the Cardiac Surgical ICU Case 10: A 58-Year-Old Man in the Emergency Department Case 11: A 57-Year-Old Man in the Cardiac Surgical Unit Case 12: A 49-Year-Old Man in the Surgical ICU Case 13: A 76-Year-Old Man with Infective Endocarditis Case 14: A 67-Year-Old in the Cardiac Clinic Case 15: A 63-Year-Old Woman in the Cardiac Clinic Case 16: A 66-Year-Old Woman in the Cardiac Surgery Unit Case 17: A 66-Year-Old Woman Admitted with a Drug Overdose Case 18: An 82-Year-Old Woman in the Cardiovascular ICU Case 19: A 45-Year-Old Man in the Cardiac Ward Case 20: A 58-Year-Old Man in the Cardiac Clinic Case 21: An 80-Year-Old Woman in the Fracture Clinic Case 22: A 61-Year-Old Man in the Nephrology Clinic Case 23: A 69-Year-Old Woman in the Cardiac Clinic Case 24: A 23-Year-Old Man who Collapsed Case 25: A 75-Year-Old Woman with Palpitations Case 26: An 88-Year-Old Woman in the Emergency Department Case 27: A 61-Year-Old Man in the Cardiac Surgical ICU Case 28: A 43-Year-Old Woman in the Emergency Department Case 29: A 42-Year-Old Female in the Gynecology Ward Case 30: A 56-Year-Old Woman in the Arrhythmia Clinic Case 31: A 56-Year-Old Woman with Idiopathic Cardiomyopathy Case 32: A 67-Year-Old Man in the Cardiac Ward Case 33: A 60-Year-Old Woman who Fainted Case 34: A 38-Year-Old Man in the Emergency Department Case 35: An 83-Year-Old Man in Low-Output Failure Case 36: An 83-Year-Old Woman in the Emergency Department Case 37: An 85-Year-Old Man in the Emergency Department Case 38: A 42-Year-Old Man with Fatigue and Weakness Case 39: A 66-Year-Old Man in the CICU Case 40: A 50-Year-Old Man in the Cardiac Surgical Ward Case 41: A 62-Year-Old Man with Heart Failure Case 42: A 68-Year-Old Woman in Congestive Heart Failure Case 43: A 70-Year-Old Man with Episodic Presyncope Case 44: A 73-Year-Old Man Presenting for Follow-Up Case 45: An 82-Year-Old Man in the Cardiac Ward Case 46: A 69-Year-Old Woman Presenting for Follow-Up Case 47: A 23-Year-Old Man with Palpitations Case 48: A 65-Year-Old Woman who Fainted Case 49: A 45-Year-Old Man with an Abnormal ECG Case 50: A 36-Year-Old Man with Duchenne Muscular Dystrophy Case 51: A 73-Year-Old Man with Ischemic Cardiomyopathy Case 52: A 68-Year-Old Woman with Chest Pain Case 53: An 81-Year-Old Man with Chest Pain Case 54: A 45-Year-Old Man in the Emergency Department Case 55: A 63-Year-Old Man in the Cath Lab Case 56: An 81-Year-Old Woman in the Post-Anaesthetic Care Unit Case 57: A 46-Year-Old Woman with Palpitations Case 58: A 72-Year-Old Woman with Congestive Heart Failure Case 59: An 88-Year-Old Man with Syncope Case 60: An 82-Year-Old Man in the Cardiac Surgical ICU Case 61: A 41-Year-Old Woman with Palpitations Case 62: A 71-Year-Old Man in the Emergency Department Case 63: A 38-Year-Old Woman in Congestive Heart Failure Case 64: A 58-Year-Old Man with Severe Weakness Case 65: A 71-Year-Old Man with Episodic Syncope Case 66: A 57-Year-Old Man in the Cardiac Surgical Unit Case 67: A 65-Year-Old Man with Chest Pain Case 68: A 57-Year-Old Man with Chest Pain Case 69: A 48-Year-Old Man in the Cardiac Clinic Case 70: A 33-Year-Old Man in the Cardiac Clinic Case 71: A 78-Year-Old Woman in Congestive Heart Failure Case 72: A 58-Year-Old Man Recovering from Spinal Surgery Case 73: A 59-Year-Old Man in the Emergency Department Case 74: A 61-Year-Old Man with Angina Case 75: A 25-Year-Old Woman in the ICU Case 76: A 53-Year-Old Man in Respiratory Distress Case 77: An 81-Year-Old Woman with Severe Dyspnea Case 78: A 77-Year-Old Man in the Coronary Care Unit Case 79: A 65-Year-Old Woman in the Cardiac Clinic Case 80: A 57-Year-Old Woman with Palpitations Case 81: A 58-Year-Old Man with Paroxysmal Palpitations Case 82: A 52-Year-Old Man with Palpitations Case 83: A 36-Year-Old Man in the Cardiac Clinic Case 84: A 69-Year-Old Woman in the CCU Case 85: A 66-Year-Old Woman in the Cardiac Surgery Unit Case 86: A 45-Year-Old Man with No Fixed Address Case 87: A 67-Year-Old Woman with Palpitations Case 88: A 70-Year-Old Man with Chest Pain Case 89: A 48-Year-Old Woman with Trisomy 21 Case 90: A 50-Year-Old Man in the Cardiac ICU Case 91: A 35-Year-Old Woman with Palpitations Case 92: A 69-Year-Old Man in the CCU Case 93: A 45-Year-Old Man with Palpitations Case 94: A 67-Year-Old Woman with Palpitations Case 95: A 44-Year-Old Man with Chest Pain Case 96: A 38-Year-Old Man who Fainted Case 97: A 73-Year-Old Woman with a Prosthetic Mitral Valve Case 98: A 35-Year-Old Woman with Palpitations Case 99: A 57-Year-Old Woman in the Emergency Department Case 100: An 89-Year-Old Man in the Geriatrics Clinic Case 101: A 68-Year-Old Man in the Medical ICU Case 102: A 32-Year-Old Man with Chest Pain Case 103: A 78-Year-Old Woman in the Endocrinology Clinic Case 104: A 59-Year-Old Man in the Cardiac Surgery Ward Case 105: A 62-Year-Old Man with Palpitations Case 106: A 67-Year-Old Man with Severe Obstructive Lung Disease Case 107: A 45-Year-Old Man with Crushing Chest Pain Case 108: A 37-Year-Old-Man with Palpitations Case 109: A 78-Year-Old Man in the Cardiac Clinic Case 110: A 76-Year-Old Woman on the Cardiac Ward Case 111: A 59-Year-Old Man with Chest Pain Case 112: A 55-Year-Old Man with Chest Pain Case 113: A 47-Year-Old Man in the Cardiac Catheterization Lab Case 114: A 43-Year-Old Man with a Slow Pulse Case 115: A 71-Year-Old Man who Fainted Case 116: A 56-Year-Old Man with Recurrent Tachycardia Case 117: An 88-Year-Old Man with Congestive Heart Failure Case 118: An 82-Year-Old Man with a Recent Stroke Case 119: A 51-Year-Old Woman with Palpitations Case 120: A 63-Year-Old Man in the Cardiac Surgery ICU Case 121: A 65-Year-Old Man in the Pacemaker Clinic Case 122: A 64-Year-Old Man Recovering from AAA Repair Case 123: An 85-Year-Old Woman in the Pacemaker Clinic Case 124: A 39-Year-Old Woman with a Left Atrial Myxoma Case 125: A 75-Year-Old Woman in the Emergency Department Case 126: A 62-Year-Old Woman in the Cardiac Surgery ICU Case 127: A 43-Year-Old Woman with Presyncope Case 128: A 79-Year-Old Woman with Heart Failure Case 129: A 29-Year-Old Woman with Palpitations Case 130: A 40-Year-Old Man with a Patent Ductus Arteriosus Case 131: A 68-Year-Old Woman with Heart Failure Case 132: A 58-Year-Old Man with Dyspnea on Exertion Case 133: A 48-Year-Old Man with Chest Pain Case 134: A 62-Year-Old Woman with Palpitations Case 135: An 80-Year-Old Woman with Pneumonia Case 136: A 63-Year-Old Woman with a Prosthetic Aortic Valve Case 137: A 68-Year-Old Man after Bypass Surgery Case 138: A 64-Year-Old Man with Palpitations Case 139: A 78-Year-Old Woman with Diabetes Case 140: A 60-Year-Old Man who Fainted Case 141: A 38-Year-Old Man with Severe Hepatosplenomegaly Case 142: A 57-Year-Old Man with Ischemic Cardiomyopathy Case 143: An 88-Year-Old Woman in the ICU Case 144: A 55-Year-Old Woman in the Neurosurgery ICU Case 145: A 43-Year-Old Man in the Nephrology Clinic Case 146: A 54-Year-Old Man in the Cardiac Surgery ICU Case 147: A 56-Year-Old Man in the CCU Case 148: An 86-Year-Old Woman in the ICU Case 149: A 74-Year-Old Man Scheduled for Cardiac Surgery Case 150: A 53-Year-Old Man with an Abnormal ECG Case 151: A 52-Year-Old Man who Fell Case 152: A 66-Year-Old Woman with Chest Pain Case 153: A 65-Year-Old Man in the ICU Case 154: A 61-Year-Old Man with Infective Endocarditis Case 155: A 69-Year-Old Woman in the Emergency Department Case 156: A 41-Year-Old Woman with a Prosthetic Mitral Valve Case 157: A 73-Year-Old Man who had a Recent CABG Case 158: A 50-Year-Old Man with Severe Chest Pain Case 159: A 75-Year-Old Woman who had a Recent CABG Case 160: A 65-Year-Old Man with a Previous Myocardial Infarction Case 161: A 43-Year-Old Man in the Pre-Admission Clinic Case 162: A 76 Year-Old Woman after Recent Abdominal Surgery Case 163: A 78 Year-Old Woman in ER with Palpitations Case 164: A 71Year-Old Man Presents to ER with Severe Chest Pain Case 165: A 65 Year-Old Woman Presents to ER with Syncope Case 166: A 76 Year-Old Woman in the Coronary ICU Case 167: A 64 Year-Old Woman Two Days After TAVR Case 168: A 70 Year-Old Man in the Emergency Room with Palpitations Case 169: A 74 Year-Old Man in the Cardiovascular Surgery ICU
