Case 13: A 76-Year-Old Woman at the Family Doctor’s Office History Diagnosis History This 76-year-old-woman has experienced palpitations and dyspnea since two months ago. She had no previous cardiac complaints. She reports that her family doctor prescribed her a medication that led to an improvement of her symptoms, and that she is now able to …
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Case 8: A 69-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 69-year-old woman presents to the emergency department complaining of severe palpitations, dyspnea, and weakness for the past two hours. During the past year, she experienced 4-5 milder episodes that subsided spontaneously in less than one hour. She has no …
Case 23: A 63-Year-Old Man in the Intensive Care Unit History Diagnosis History A 63-year-old man with an extensive pulmonary carcinoma is admitted to the Intensive Care Unit with pneumonia and bilateral pleural effusion: Diagnosis Atrial fibrillation with rapid ventricular response (ventricular rate 206/min) Two premature ventricular complexes ST and T abnormality, consider lateral ischemia …
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Case 38: A 74-Year-Old Woman with Shortness of Breath History Diagnosis History A 74-year-old woman is presenting to her family physician’s office with complaints of shortness of breath on climbing stairs in her home. Diagnosis Atrial fibrillation with rapid ventricular response (102/min) Left ventricular hypertrophy (LVH) with QRS widening and repolarization abnormality This patient had …
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Case 44: A 75-Year-Old Woman Complaining of Tiredness History Diagnosis History A 75-year-old woman, with a 20 year history of hypertension and angina is presenting with complaints of tiredness and easy fatigue: Diagnosis Coarse atrial fibrillation with slow ventricular response (40/min) Left ventricular hypertrophy Marked ST and T abnormality, consider anterolateral ischemia The recent onset …
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Case 49: A 70-Year-Old Woman with Episodes of Palpitation History Diagnosis History A 70-year-old diabetic woman who is on digoxin and a beta-blocker is presenting to the emergency department complaining of palpitation: Diagnosis Atrial fibrillation followed by restoration of sinus rhythm ST abnormality, possibly secondary to digoxin Comment: This patient had been experiencing episodes of …
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Case 15: A 22-Year-Old Man in the Emergency with Palpitation History Diagnosis History A 22-year-old man is seen in the Emergency Department with rapid palpitation, dyspnea and weakness of 1 hour duration. He gives a history of occasional milder episodes of palpitation since his early teens, that subsided spontaneously in 15-20 minutes. He otherwise enjoys …
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Case 31: A 77-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 77-year-old man is presenting to the emergency department for episodes of severe weakness and near-syncope during the past 24 hours: Diagnosis Atrial flutter with complete heart block Escape wide QRS rhythm, with right bundle branch block pattern …
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Case 33: A 71-Year-Old Man in the CCU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 71-year-old man, who had angioplasty and stenting of the main left and anterior descending coronary arteries 10 months earlier, is admitted to the CCU with non-ST-elevation myocardial infarction. He is scheduled to undergo …
Case 43: A 49-Year-Old Woman in the Cardiac Outpatient Clinic History Diagnosis History A 49-year-old woman is in the cardiac clinic for follow up 3 months after aorto-coronary bypass surgery: Diagnosis Coarse atrial fibrillation, with ventricular rate 86/min Inferior infarction, age undetermined In atrial flutter saw-tooth waves are usually seen in the inferior leads, and …
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