Case 1: A 47-Year-Old Man with Chest Pain History Diagnosis History A 47-year-old man is brought into the Emergency Department by ambulance, 45 minutes after the onset of severe retrosternal chest pain: Diagnosis Sinus rhythm, 80/min Acute anterior myocardial infarction Coronary angiography demonstrated an occlusion in the proximal segment of the left anterior descending artery. …
Case 17: A 79-Year-Old Man with Angina History Diagnosis History A 79-year-old man with 15-year history of coronary artery disease is presenting with recent angina on mild exertion: Diagnosis Sinus Rhythm, 85/min Inferior myocardial infarction, age undetermined Anterior myocardial infarction, age undetermined ECG ID: E434
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 21: A 50-Year-Old Man in Cardiology Clinic History Diagnosis History A 50-year-old man is in the cardiac clinic: Diagnosis AAI pacing (paced atrial rhythm, 50/min) Prolonged AV conduction (PR interval 220 ms) Anterior infarction, age undetermined T wave abnormality, possible anterolateral ischemia ECG ID: E621
Case 66: An 89-Year-Old Man in the ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 89-year-old man with hypertension, diabetes and coronary artery disease suffered cardiac arrest at home. When the Emergency Medical Service arrived he was pulseless, but shortly afterwards there was spontaneous return of circulation. He is admitted to ICU and …
Case 106: A 54-Year-Old Diabetic Man with Dyspnea on Exertion History Diagnosis History A 54-year-old diabetic man is in his family doctor’s office. One month ago he started complaining of dyspnea and weakness on walking quickly to a bus-stop two short blocks from his home. Previously he did regular moderate exercise without symptoms: Diagnosis Sinus …
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Case 107: A 57-Year-Old Diabetic Man with Dyspnea on Exertion History Diagnosis History A 57-year-old diabetic man is seen in the family doctor’s office. One month ago he started complaining of dyspnea and weakness on walking quickly to the bus-stop three short blocks from his home. Previously he had been free of symptoms during moderate …
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Case 146 – A 55 Year-Old Man in the ER with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 55 year-old man presents to the ER with a 45 min history of chest tightness associated with diaphoresis and mild shortness of breath. Diagnosis Sinus Rhythm ST elevation …
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Case 15: A 63-Year-Old Woman in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 73-year-old woman has been referred by her family physician because of angina during moderate exertion. She has been known to have a congenital cardiac abnormality: Diagnosis The computer’s diagnostic program suggests “arm lead reversal”, however, dextrocardia is the …
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Case 115: A 71-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis History This 71-year-old man with a known history of coronary artery disease and a previous myocardial infarction is seen in the emergency department following an episode of syncope at home. He collapsed and hit the back of his head. He reports …
