Case 22: A 61-Year-Old Man with Palpitations History Diagnosis ECG 2 Compare ECG 1 vs ECG 2 History A 61-year-old man has developed rapid palpitation with dyspnea and weakness while in the recovery room after GU surgery: Diagnosis Supraventricular tachycardia, rate 152/min Negative P waves in the inferior leads, positive P waves in aVR and …
Case 28: A 69-Year-Old Woman in the ED with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 69-year-old woman with a five year history of occasional episodes of rapid palpitation, starting and ending abruptly, lasting from minutes to one hour, and accompanied by neck pulsations, weakness and dyspnea, presents to Emergency Department two …
Case 28: A 69-Year-Old Woman in the ED with Palpitation Read More »
Case 45: A 59-Year-Old Woman with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 59-year-old woman with a history of infrequent episodes of tachycardia (starting and ending abruptly) since her teens that are often terminated by Valsalva maneuver is presenting to the Emergency department during one of her typical episodes: Diagnosis AV Nodal …
Case 38: A 75-Year-Old Woman with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 75-year-old woman is in the Emergency Department 45 minutes after onset of rapid regular palpitation with neck pounding and mild anterior chest tightness: Diagnosis AV Nodal Re-entrant Tachycardia (AVNRT), rate 136/min Non-specific ST and T wave abnormality ECG 2 …
Case 77: A 61-Year-Old Man in the Surgical Recovery Room History Diagnosis ECG 2 History A 61-year-old man with a past history of episodes of paroxysmal palpitation is in the recovery room after trans-uretral prostate resection: Diagnosis Supraventricular tachycardia AV nodal Re-entrant Tachycardia (AVNRT) (Rate 152/min) ECG 2 There was no response to vagal stimulation …
Case 77: A 61-Year-Old Man in the Surgical Recovery Room Read More »
Case 84: A 68-Year-Old Man in the Emergency Department History Diagnosis ECG 2 History A 68-year-old businessman was at work in his office when he developed a sensation of pounding in his lower anterior chest. He had experienced five similar episodes in the past 4 years, that lasted 20-60 minutes. All subsided spontaneously, except one …
Case 84: A 68-Year-Old Man in the Emergency Department Read More »
Case 85: A 38-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 History A 38-year-old female secretary suddenly felt weak and lightheaded while eating lunch. She noticed that her heart pounded rapidly and regularly with no neck pulsation or previous history of palpitation: Diagnosis Supraventricular tachycardia (AVNRT, AV Nodal Re-entrant Tachycardia) Non specific ST abnormality ECG …
Case 85: A 38-Year-Old Woman in the Emergency Department Read More »
Case 86: A 38-Year-Old Man with Cystic Fibrosis History Diagnosis ECG 2 ECG 2 Diagnosis History A 33-year-old man is admitted with acute respiratory exacerbation of his cystic fibrosis. While being vigorously treated in the medical ICU, he suddenly develops palpitation, increased dyspnea and weakness: Diagnosis Supraventricular tachycardia, 197/min There is a narrow-QRS tachycardia. No …
Case 93: A 81-Year-Old Woman with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis Comparing ECG 1 vs ECG 2 History A 81-year-old woman is seen in the Emergency Department because of an episode of palpitation that lasted for over 2 hours, accompanied by dyspnea and weakness. Episodes of paroxysmal tachycardia had been occurring for …
Case 96: A 56-Year-Old Woman with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis Comparing ECG 1 vs ECG 2 History A 56-year-old woman has been suffering for the past 20 year from occasional episodes of rapid regular palpitation, starting abruptly, lasting from a few minutes to half an hours, accompanied by sensation of pulsation …
