Case 6: A 38-Year-Old Man in the Emergency Department History Diagnosis History A 38-year-old man is in the Emergency Department with severe abdominal and back pain due to a sickle cell crisis. For the past year he has complained of palpitation precipitated by stress: Diagnosis Sinus tachycardia, 107/min Frequent premature atrial complexes in a pattern …
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Case 121: A 76-Year-Old Woman Who Fainted History Diagnosis History A 76-year-old woman had a 2 years history of episodes of atrial fibrillation with rapid ventricular response. She was on Digoxin and Atenolol. The following ECG is recorded in the emergency department, where she is brought by ambulance after she fainted at home: Diagnosis Marked …
Case 108: A 37 Year-Old-Man with Palpitations History Diagnosis History This 37-year-old man reports a several year history of occasional palpitations, with isolated runs of “thumps” in his chest: Diagnosis Sinus rhythm, with frequent premature atrial complexes (PACs), isolated, in a couplet, and in a run of atrial tachycardia The first PAC of the couplet …
Case 80: A 74-Year-Old Woman on the Respirology Ward History Diagnosis History A 74-year-old woman with a long history of obstructive lung disease and asthma is on the respirology ward with severe bronchopneumonia: Diagnosis Multifocal atrial tachycardia (153/min) Frequent aberrantly conducted complexes (Ashman phenomenon) Non-specific ST and T abnormality Comment: There is a very rapid (153/min), …
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