Case 53: An 81-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 81-year-old man came to the Emergency Department complaining of anterior chest pain of 4 days duration, worse when sitting up and inhaling deeply. For several months, his state of health had deteriorated, with increasing …
Case 71: A 78-Year-Old Woman in Congestive Heart Failure History Diagnosis History This 78-year-old woman with a previous history of rheumatic fever and an associated heart murmur presents to the hospital in severe congestive heart failure: Diagnosis Atrial fibrillation – Ventricular rate 84/min Right axis deviation Incomplete right bundle branch block (iRBBB) Biventricular hypertrophy Right …
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Case 73: A 59-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 59-year-old man with severe peripheral vascular disease was in the pre-anaesthesia clinic for assessment prior to his admission for vascular surgery. It was noted that his pulse was very rapid and irregular, despite him being asymptomatic. He …
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Case 82: A 52-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 52-year-old man presents to the Emergency Department with severe palpitations, dyspnea, and presyncope for the past hour. He reports a thirty year history of episodic palpitations occurring once or twice annually and subsiding spontaneously. Otherwise, he is healthy and …
Case 131: A 68-Year-Old Woman with Heart Failure History Diagnosis History This 68-year-old woman is in hospital for treatment of severe congestive heart failure secondary to rheumatic valvular disease: Diagnosis Atrial fibrillation – ventricular rate 66/min Incomplete right bundle branch block (iRBBB) ST depression, prominent U waves, with marked QT-U prolongation (QTU 612ms – cQTU …
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Case 143: An 88-Year-Old Woman in the ICU History Diagnosis History This 88-year-old woman with a history of pulmonary tuberculosis, severe bullous emphysema, and pulmonary fibrosis was admitted to the intensive care unit with bronchopneumonia and acute respiratory insufficiency requiring intubation: Diagnosis Coarse atrial fibrillation with rapid ventricular response (136/min) Right bundle branch block Right …
Case 159: A 75-Year-Old Woman who had a Recent CABG History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 75-year-old woman is on the cardiac surgery ward two days after coronary artery bypass surgery: Diagnosis Atrial fibrillation with a junctional escape rhythm (rate 46/min). Consider the possibility of complete heart …
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Case 2: 52-Year-Old-Man in ER with Palpitations ECG Diagnosis ECG 2 ECG 2 Diagnosis ECG A 52-year-old man with longstanding history of palpitations presents with an episode of palpitations that is more intense and of longer duration than his previous episodes: Diagnosis Atrial Fibrillation Preexcitation Likely left posterior accessory pathway ECG 2 This ECG is …
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Case 9: A 59-Year-Old Man in the Cardiac Surgery Intensive Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History A 59-year-old man is in the cardiac surgery ICU 5 hours after replacement of his aortic valve because of aortic stenosis: Diagnosis Atrial fibrillation with AV dissociation – Accelerated idioventricular rhythm, rate 73/min Consider the …
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Case 15: A 32-Year-Old Man with Sickle Cell Disease History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with sickle cell disease is seen in the hematology outpatient clinic. He has suffered from numerous episodes of sickle cell crisis. He has chronic renal insufficiency. His condition has been …
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