Case 61: A 46-Year-Old Man in the Cardiac Clinic History Diagnosis History A 46-year-old man with a 3 year history of coronary artery disease is seen in the cardiac clinic for a follow-up visit: Diagnosis Coarse atrial fibrillation, 86/min Inferior infarction, age undetermined Coarse atrial fibrillation with fibrillatory waves seen during the entire 10 …
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Case 63: A 54-Year-Old Woman in the Emergency Department History Diagnosis History A 54-year-old woman with a 6 month history of occasional retrosternal pain on exertion is seen in the Emergency Department complaining of oppressive anterior chest discomfort, dyspnea and palpitation: Diagnosis Atrial fibrillation with rapid ventricular response (168/min) Lateral myocardial infarction, age undetermined (40 …
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Case 65: A 59-Year-Old man in the Cardiac Intensive Care Unit History Diagnosis History A 59-year-old man is in the Surgical Cardiac Intensive Care Unit two days after aorto-coronary bypass: Diagnosis Atrial fibrillation with rapid ventricular response (ventricular rate 132/min) Right bundle branch block ECG ID: E376
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 103: A 39-Year-Old Man with Severe Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History A 39-year-old limousine driver had complained of episodes of rapid palpitation for the past 15 years, starting and stopping suddenly, lasting 1-2 hours. On the way to a client, he developed a much more severe episode, accompanied …
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Case 105: A 72-Year-Old Man complaining of Weakness History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 72-year-old hypertensive diabetic man is brought to the Emergency Department because of nausea, malaise and increasing weakness for the past 3 days. He had very little fluid intake, despite very hot humid weather. He …
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Case 117: A 56-Year-Old Man in the Medical Intensive Care Unit History Diagnosis History A 56-year-old man was seen in the Emergency ward because of severe dyspnea and is admitted to the medical ICU. For the past month he had felt unwell and had complained of fatigue and mild breathlessness on exertion. In the ICU …
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Case 135: A 58-Year-Old Man 5 Days after Aortic Valve Replacement History Diagnosis ECG 2 ECG 2 Diagnosis History A 58-year-old man is being monitored in the cardiac surgical ward 5 days after replacement of his aortic valve because of severe aortic regurgitation, when he developed palpitation and dyspnea: Diagnosis Atrial fibrillation with rapid ventricular …
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Case 27: A 61-Year-Old Man in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG Diagnosis History This 61-year-old man underwent closure of a large primum atrial septal defect (2.5 cm in width and 2.9 cm in height) with a pericardial patch and repair of …
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Case 32: A 67-Year-Old Man in the Cardiac Ward History Diagnosis History This 67-year-old man with a long history of coronary artery disease is admitted to the cardiac ward for investigation of frequent angina: Diagnosis Atrial fibrillation with frequent premature ventricular complexes (PVCs) Onset of ventricular tachycardia (rate 145/min) – One fusion complex. Ventricular rate …
