Anterolateral Ischemia

Case 70: A 41-Year-Old Man with Valvular Heart Disease

Practice Level 3

Case 70: A 41-Year-Old Man with Valvular Heart Disease History Diagnosis History A 41-year-old man is admitted with pneumonia and congestive heart failure. On examination evidence of valvular heart disease is discovered: Diagnosis Sinus rhythm Left atrial enlargement Right ventricular hypertrophy ST and T wave abnormality, consider anterolateral ischemia On admission the patient had evidence …

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Case 17: A 70-Year-Old Woman in the Emergency Department

Practice Level 5

Case 17: A 70-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 70-year-old woman with a history of palpitation during the past 2 months is seen in the emergency department with recurrence of palpitation and dyspnea: Diagnosis Atrial Fibrillation – Ventricular rate 113/min Incomplete right bundle branch block (iRBBB) …

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Case 60: A 58-Year-Old Man with Unstable Angina

Practice Level 5

Case 60: A 58-Year-Old Man with Unstable Angina History Diagnosis ECG 2 ECG 2 Diagnosis History A 58-year-old man is admitted with unstable angina. Chest pain continued to occur despite maximal therapy. A few hours before his scheduled aorto-coronary bypass surgery, the patient developed palpitation, dyspnea and angina: Diagnosis Ventricular tachycardia, 126/min Capture and fusion …

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Case 91: A 78-Year-Old Woman in the Cardiology Ward

Practice Level 5

Case 91: 78 Year-Old Woman in the Cardiology Ward History Diagnosis History This 78-year-old woman with a long-standing history of coronary artery disease is admitted to the cardiology ward for treatment of congestive heart failure: Diagnosis Sinus rhythm with sinus arrhythmia and premature atrial beats – Ventricular rate 64/min AV dissociation due to a competing junctional rhythm …

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Case 102: A 61-Year-Old Woman in the Cardiac Surgical ICU

Practice Level 5

Case 102: A 61-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 62-year-old woman is in the cardiac ICU following aortic valve replacement because of aortic stenosis: Diagnosis AV Dissociation Marked sinus bradycardia with sinus arrhythmia and a ventricular escape rhythm, 43/min.  One …

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