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 99: A 77-Year-Old Man in the Emergency with Dyspnea History Diagnosis History A 77-year-old man with a long history of coronary artery disease is in the Emergency Department complaining of dyspnea and oppressive anterior chest discomfort: Diagnosis Atrial flutter with 2:1 conduction Ventricular rate 120/min Left axis deviation Septal myocardial infarction, age undetermined ECG …
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Case 101: A 78-Year-Old Woman 5 days after Bypass Surgery History Diagnosis History A 78-year-old woman suffered from a myocardial infarction while being treated in hospital for hip fracture. Coronary angiography showed three-vessel coronary artery disease. She underwent bypass surgery. Five days after the operation she is complaining of palpitation and dyspnea: Diagnosis Atrial flutter …
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Case 151: A 79 Year-Old Man in the Emergency Room History Diagnosis History A 79 year-old man presents to the emergency room with increasing fatigue and shortness of breath over the past several weeks. His ECG done in the ER is shown below: Diagnosis Atrial flutter with 4:1 conduction, Ventricular rate 84/min Low Voltage QRS …
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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 37: An 85-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History An 85-year-old man presents to the Emergency Department because of severe urinary retention secondary to prostatic carcinoma. The patient had an aorto-coronary bypass surgery 10 years earlier. He was diagnosed with Alzheimer’s disease …
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Case 81: A 58-Year-Old Man with Paroxysmal Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 58-year-old man presented to the Emergency Department with a two year history of paroxysmal palpitations accompanied by dyspnea and weakness: Diagnosis Atrial flutter with variable AV conduction – ventricular rate 100/min Minimal criteria for left ventricular hypertrophy Typical …
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Case 154: A 61-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History This 61-year-old man is admitted with infective endocarditis of the mitral valve: Diagnosis Atrial flutter Complete heart block with a wide-QRS escape rhythm (right bundle branch block pattern) Ventricular rate 54/min When patients with atrial flutter develop …
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Case 160: A 65-Year-Old Man with a Previous Myocardial Infarction History Diagnosis History This 65-year-old man is seen in the cardiac clinic for a routine follow-up visit. He had a myocardial infarction two years earlier, but has been free of angina with moderate exertion. Lately, he reports feeling more easily fatigued: Diagnosis Atrial flutter with …
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Case 163: A 78 Year-Old Woman in ER with Palpitations History Diagnosis History A 78 year old woman with remote history of myocardial infarction presents to the ER with palpitations and persistent heart rate over 100bpm for the last several days. Diagnosis Atrial Flutter with 2:1 AV conduction Anteroseptal myocardial infarction Comment: When 2:1 conduction …
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