Case 11: A 57-Year-Old Man in the Cardiac Surgical Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 57-year-old man with severe unstable angina was taken to the operating room for urgent revascularization. He had four aorto-coronary bypasses and an endarterectomy of the right coronary artery. This ECG was recorded 30 minutes after transfer …
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Case 31: A 56-Year-Old Woman with Idiopathic Cardiomyopathy History Diagnosis History This 56-year-old woman with idiopathic cardiomyopathy presents to the cardiac outpatient clinic for reassessment. Her condition is stable, and she is failure-free: Diagnosis Sinus rhythm, ventricular rate 79/min Competing accelerated idioventricular rhythm with retrograde atrial conduction Comment: The T waves following the sinus-originated complexes …
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Case 102: A 32-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with several risk factors for coronary artery disease (family history, hyperlipidemia, and smoking) is seen in the Emergency Department one hour after the onset of severe retrosternal pain radiating to the …
Case 152: A 66-Year-Old Woman with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History This 66-year-old woman with a history of hypertension is brought to the emergency department four hours after the onset of severe retrosternal chest pain, associated with dyspnea, diaphoresis and nausea: Diagnosis Sinus rhythm with successive ectopic ventricular complexes (accelerated idioventricular …
Case 157: A 73-Year-Old Man who had a Recent CABG History Diagnosis History This 73-year-old man is postoperative day 3 from an uncomplicated coronary artery bypass surgery: Diagnosis AV dissociation (sinus rhythm with accelerated idioventricular rhythm), followed by sinus rhythm with normal AV conduction Non-specific ST-T abnormality In the first half of the tracing, there …
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Case 9: A 59-Year-Old Man in the Cardiac Surgery Intensive Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History A 59-year-old man is in the cardiac surgery ICU 5 hours after replacement of his aortic valve because of aortic stenosis: Diagnosis Atrial fibrillation with AV dissociation – Accelerated idioventricular rhythm, rate 73/min Consider the …
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Case 30: A 75-Year-Old Man with Unstable Angina History Diagnosis History A 75-year-old man is in the cardiac ward for investigation of unstable angina: Diagnosis Sinus rhythm with premature ventricular complexes, followed by AV dissociation due to an accelerated idioventricular rhythm One fusion complex ECG ID: E533
