Case 61: An 86 Year-Old Man seen in Cardiac Clinic History Diagnosis History An 86 year old man with remote history of myocardial infarction is seen in the cardiac clinic for routine follow-up. He is asymptomatic. Diagnosis Sinus bradycardia, rate 55/min First degree AV block, PR = 260ms Right bundle branch block Left anterior fascicular …
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Case 100: A 77-Year-Old Man with Palpitation History Diagnosis History A 77-year-old man had aorto-coronary bypass surgery 5 years ago with good results. He is seen in the emergency department complaining of palpitation: Diagnosis Atrial fibrillation with one premature ventricular complex Left axis deviation Anteroseptal infaction, age undetermined ECG ID: E265
Case 138: A 64-Year-Old Man with Palpitations History Diagnosis ECG 2 History This 64-year-old man presents to the Emergency Department with palpitations. He reports a five-year history of paroxysmal tachycardia starting and ending suddenly, occurring approximately once a month, lasting usually 20-30 minutes, and associated with weakness, dizziness, and neck pulsations: Diagnosis Supraventricular tachycardia: AV …
Case 163: A 78 Year-Old Woman in ER with Palpitations History Diagnosis History A 78 year old woman with remote history of myocardial infarction presents to the ER with palpitations and persistent heart rate over 100bpm for the last several days. Diagnosis Atrial Flutter with 2:1 AV conduction Anteroseptal myocardial infarction Comment: When 2:1 conduction …
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Case 81: A 77-Year-Old Man in the Coronary Care Unit History Diagnosis History A 77-year-old man is admitted to the Coronary Care Unit, where he is treated with fibrinolysis. This ECG is recorded 2 days later: Diagnosis Sinus rhythm Left axis deviation Intermittent right bundle branch block (2:1) Anteroseptal infarct, recent ECG ID: E266
Case 122: A 77 Year-Old Woman in the Emergency Room with Dizziness History Diagnosis History A 77 year-old woman is seen in the emergency room with several days of dizziness. Her ECG recorded in the emergency room is shown below: Diagnosis Ectopic Atrial Bradycardia, 37/min AV Dissociation with Junctional Escape, 43/min Conducted P-waves have 1st …
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Case 125: A 94 Year-Old Man in the Emergency Department with Palpitations History Diagnosis History A 94 year old man with a history of atrial fibrillation and symptomatic bradycardia presents to the emergency department with palpitations and shortness of breath. His ECG is shown below: Diagnosis Atrial fibrillation with ventricular paced rhythm, ventricular rate 82/min …
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