Atrial Fibrillation

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Case 17: A 70-Year-Old Woman in the Emergency Department

Case 17: A 70-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 70-year-old woman with a history of palpitation during the past 2 months is seen in the emergency department with recurrence of palpitation and dyspnea: Diagnosis Atrial Fibrillation – Ventricular rate 113/min Incomplete right bundle branch block (iRBBB) …

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Case 57: A 41-Year-Old Man in the Emergency Department

Case 57: A 41-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 41-year-old man known to have a dilated cardiomyopathy for several years is seen in the Emergency Department complaining of dyspnea and weakness, starting suddenly 1 hour earlier: Diagnosis Polymorphic ventricular tachycardia, rate 180/min. After the first 9 …

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Case 68: A 68-Year-Old Man with Mitral Valve Disease

Case 68: A 68-Year-Old Man with Mitral Valve Disease History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Diagram History This 68-year-old man with known rheumatic valvular disease had a mitral commissurotomy 7 years ago. He has moderate mitral stenosis and regurgitation. He is followed in the arrhythmia clinic: Diagnosis Right arm-right leg lead reversal – This …

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Case 125: A 94 Year-Old Man in the Emergency Department with Palpitations

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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