Case 4: An 88-Year-Old Woman with Weakness and Dyspnea History Diagnosis History An 88-year-old woman with a 10 year history of coronary artery disease is referred to the Emergency Department by her family physician for weakness and dyspnea on mild exertion for the past week: Diagnosis Atrial tachycardia with 2:1 AV block Ventricular rate 107/min …
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Case 41: A 66-Year-Old Woman with Palpitation History Diagnosis History A 66-year-old woman with a four-year history of episodes of paroxysmal palpitation is presenting to her family doctor’s office during one of these episodes: Diagnosis Atrial tachycardia, 120/min P waves with abnormal morphology (negative in II, III, aVF and V3 to V6) are seen, preceding …
Case 51: A 67-Year-Old Woman Complaining of Palpitation History Diagnosis History A 67-year-old woman has experienced episodes of paroxysmal palpitation since her early 40s. They are infrequent (one every 3-4 years) and last from a few minutes to a few hours. No precipitating factors have been identified. She denies drinking alcohol. This ECG was recorded …
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Case 11: A 75-Year-Old Man with Palpitation History Diagnosis History A 75-year-old man with no previous cardiac complaints and normally active is in the Emergency Department complaining of palpitation and mild dyspnea of one hour duration: Diagnosis Atrial Tachycardia, 163/min Non-specific T wave abnormality ECG ID: E712
Case 18: A 56-Year-Old Woman in the Cardiac Clinic History Diagnosis History A 56-year-old woman with a non-ischemic cardiomyopathy is seen in the cardiac clinic for a reassessment: Diagnosis Atrial tachycardia with variable AV conduction Atrial rate 200/min, ventricular rate 77/min Non-specific ST abnormality ECG ID: E654
Case 139: A 70-Year-Old Woman in the ICU with Pneumonia History Diagnosis ECG 2 ECG 2 Diagnosis History A 70-year-old woman with chronic severe obstructive lung disease is in the medical intensive care unit with bronchopneumonia: Diagnosis Atrial tachycardia with 2:1 AV block Ventricular rate 96/min Right axis deviation Right ventricular hypertrophy Non-specific T …
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Case 140: A 44-Year-Old Man with Intermittent Palpitations History Diagnosis History A 44-year-old man is in the office of his family physician, complaining of recent episodes of intermittent palpitations: Diagnosis Sinus rhythm with runs of non-sustained atrial tachycardia Otherwise, normal ECG ECG ID: E792
Case 148: A 79 Year-Old Woman in Hospital with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 79 year-old woman is admitted to hospital with palpitations. Because of a previous history of atrial fibrillation, she had been started on a combination of flecainide and bisoprolol. She presented to …
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Case 1: A 53-Year-Old Man with Shortness of Breath History Diagnosis History A 53-year-old man with a history of ischemic cardiomyopathy and an implanted defibrillator presents to the ICD clinic for routine follow-up. He complains of increased shortness of breath over the last few weeks: Diagnosis Atrial tachycardia with 2:1 AV conduction Non-specific intraventricular conduction block* …
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Case 25: A 75-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 75-year-old woman presents to the Emergency Department with a two hour history of palpitations, dyspnea, and weakness. She reports no previous cardiac issues: Diagnosis Atrial tachycardia with Mobitz I second degree AV block – atrial rate 172/min, ventricular rate 154/min Minimal …
