Case 116: A 59-Year-Old Woman in the Emergency with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis Comparing ECG 1 vs ECG 2 History This 59-year-old woman with a history of hypertension had been complaining for the past two years of episodes of rapid regular palpitation, starting and end suddenly, associated with dyspnea and weakness. …
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Case 26: An 88-Year-Old Woman in the Emergency Department History Diagnosis History An 88-year-old woman is sent to the ED by her family physician because of frequent, brief episodes of paroxysmal palpitations during the past 24 hours: Diagnosis AV nodal re-entrant tachycardia 180/min, interrupted by a 6 second period of sinus rhythm This is a …
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Case 91: A 35-Year-Old Woman with Palpitations History Diagnosis History A 35-year-old woman presents to the Emergency Department with palpitations. She reports that since she was a teenager, she has had 1-2 episodes per year of rapid palpitations, that start and end abruptly and are associated with weakness, mild dyspnea, and a pulsating sensation in …
Case 94: A 67-Year-Old Woman with Palpitations History Diagnosis History This 67-year-old woman with history of mild stable angina for the past three years is in the Emergency Dept. with palpitation of two hours duration, associated with moderate dyspnea and mild retrosternal discomfort: Diagnosis Supraventricular tachycardia, 178/min Tachycardia terminates at end of ECG Comment: Negative …
Case 105: A 62-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG Comparison History A 62-year-old presents with a ten year history of episodic fast palpitations, which he reports start and end suddenly, and are accompanied by neck pulsations and dyspnea. He reports the palpitations last one to two hours, and have previously needed to …
Case 129: A 29-Year-Old Woman with Palpitations History Diagnosis ECG 2 History This 29-year-old woman presents to the Emergency Department complaining of palpitations, presyncope, and dyspnea. She reports experiencing palpitations for the past 14 years, that have a sudden-onset, are rapid and regular, and occur twice a year. She also states that they are accompanied by chest …
Case 138: A 64-Year-Old Man with Palpitations History Diagnosis ECG 2 History This 64-year-old man presents to the Emergency Department with palpitations. He reports a five-year history of paroxysmal tachycardia starting and ending suddenly, occurring approximately once a month, lasting usually 20-30 minutes, and associated with weakness, dizziness, and neck pulsations: Diagnosis Supraventricular tachycardia: AV …
Case 14: A 43-Year-Old Man in the Emergency with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 43-year-old man has a history of paroxysmal narrow QRS tachycardia for over 20 years. The episodes were at first infrequent and terminated spontaneously, however, during the past 2 years they had been occurring every 2-3 months …
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Case 95: A 76-Year-Old Woman with Episodes of Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 76-year-old woman with hypertension and arthritis has a long history of episodes of paroxysmal palpitation, associated with dyspnea, weakness and often neck pulsation. Her medication includes digoxin and sotalol. She is in …
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Case 118: A 57 Year-Old Man with Palpitations History Diagnosis History A 57yr man undergoes a Holter monitor (shown below) after complaining of intermittent sudden onset, sudden offset palpitations. Diagnosis Sinus Rhythm Premature Atrial Beat initiates Supraventricular Tachycardia with “long RP” Premature Ventricular Beat terminates Supraventricular Tachycardia Comment: The first panel shows sinus rhythm followed …
