Case 16: A 59-Year-Old Man in the Emergency with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 59-year-old man is in the emergency department with palpitation and mild dyspnea. He had experienced 3 similar episodes during the previous 4 months, that had subsided spontaneously in 1/2 – 1 …
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Case 64: A 58-Year-Old Man in the Coronary Care Unit History Diagnosis History A 58-year-old man is admitted to the coronary care unit with severe central anterior chest pain of 4 hour duration. This ECG tracing is recorded 2 hours after his admission: Diagnosis Sinus rhythm, 90/min Complete heart block,with escape junctional rhythm, 47/min Acute …
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Case 68: A 60-Year-Old Man with Frequent Chest Pain History Diagnosis History A 60-year-old man is admitted to the CCU with one week history of frequent episodes of anterior chest pain at rest and on mild exertion: Diagnosis Sinus rhythm with AV dissociation due to a competing accelerated junctional rhythm Ventricular rate 65/min One AV …
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Case 128: A 54-Year-Old Man in the Coronary Care Uni History Diagnosis History A 54-year-old man is admitted to the coronary unit with severe retrosternal pain of 3 hours duration: Diagnosis Sinus rhythm with Mobitz I second degree AV block Acute inferior myocardial infarction Acute anterior myocardial infarction ECG ID: E194
Case 147: A 75 Year-Old Man with Throat Tightness History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 75 year-old man with a history of exercise induced throat tightness intermittently associated with near syncope is admitted to the cardiology teaching service. His baseline ECG was normal but because of a …
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Case 112: A 55-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 55-year-old diabetic man with a two year history of mild angina is brought to the Emergency Department three hours after the onset of constrictive central anterior chest pain: Diagnosis Sinus rhythm Incomplete right …
Case 133: A 48-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 48-year-old man with a history of untreated hyperlipidemia and smoking presented to the Emergency Department with severe anterior chest pain for the past 70 minutes: Diagnosis Sinus rhythm with marked sinus arrhythmia Inferior …
Case 147: A 56-Year-Old Man in the CCU History Diagnosis History This 56-year-old man developed an arrhythmia one hour after his admission to the coronary care unit: Diagnosis Sinus rhythm with second degree AV block Mobitz I (4:3) Acute inferior myocardial infarction ECG ID: E230
Case 158: A 50-Year-Old Man with Severe Chest Pain History Diagnosis History This 50-year-old man presents to the Emergency Department with severe central anterior chest pain for the past hour: Diagnosis Sinus rhythm with Mobitz I second degree AV block Acute inferior infarction The taller T wave in V2 in a patient with an inferior …
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Case 73: A 77-Year-Old Woman with Chest Pain and Dyspnea History Diagnosis ECG 2 ECG 2 Diagnosis History This 77-year-old woman had a myocardial infarct 9 years ago. She made a good recovery and was stable until 1 day before admission, when she developed severe crushing anterior chest pain at about 7 PM. Pain continued …
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