Case 9: A 42-Year-Old Woman with Heart Failure History Diagnosis History A 42-year-old woman with a history of rheumatic fever in her teens and a known murmur for the past ten years presents with a progressively decreasing exercise tolerance for the past four years, and a recent admission to hospital for congestive heart failure: Diagnosis …
Case 14: A 58-Year-Old Man with Dilated Cardiomyopathy History Diagnosis History A 58-year-old man is followed in the heart failure clinic for a 3 year history of symptomatic dilated cardiomyopathy: Diagnosis Sinus rhythm, 90/min. Biatrial enlargement Left ventricular hypertrophy with repolarization abnormality A recent echocardiogram demonstrated dilated left ventricle and left atrium and moderate mitral …
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Case 2: A 65-Year-Old Man in the Intensive Care Unit History Diagnosis History A 65-year-old man with severe chronic obstructive lung disease has been admitted to the intensive care unit for treatment of broncho-pneumonia: Diagnosis Sinus tachycardia, 110/min Biatrial enlargement Right superior axis deviation Comment: This ECG shows typical findings seen in patient with chronic …
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Case 26: A 57-Year-Old Man in the Emergency Department History Diagnosis History A 57-year-old smoker with a history of chronic obstructive lung disease and sleep apnea is in the emergency department complaining of increasing dyspnea and cough during the past 3 days: Diagnosis Sinus tachycardia, 140/min Biatrial enlargement Right axis deviation Findings are suggestive of …
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Case 46: A 64-Year-Old Woman with Valvular Heart Disease History Diagnosis History A 65-year-old woman is presenting with symptomatic mitral and tricuspid insufficiency: Diagnosis Sinus tachycardia, 106/min Biatrial enlargement Left ventricular hypertrophy with repolarization abnormality ECG ID: E497
Case 75: A 25-Year-Old Woman in the ICU History Diagnosis History This 25-year-old woman with chronic respiratory failure and hypoventilation secondary to kyphoscoliosis and restrictive lung disease is admitted to the Intensive Care Unit with pulmonary aspergillosis: Diagnosis Sinus tachycardia 110/min Biatrial enlargement Right axis deviation Right ventricular hypertrophy Diffuse T wave abnormality The presence …
Case 83: A 36-Year-Old Man in the Cardiac Clinic History Diagnosis History This 36-year-old man with chronic renal failure treated with hemodialysis is followed in the cardiac clinic because of a bicuspid aortic valve with stenosis and regurgitation. One year ago, he was treated for a pulmonary embolism: Diagnosis Sinus rhythm, 78/min. Biatrial enlargement Left …
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Case 88: A 70-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History This 70-year-old man with a previous history of CABG developped sudden severe chest pain and called 911. He arrived in the Emergency Department one hour after the onset of his symptoms: Diagnosis Sinus rhythm ST elevation, consider lateral injury …
Case 89: A 48-Year-Old Woman with Trisomy 21 History Diagnosis History This 48-year-old woman with Trisomy 21 has a known large ventricular septal defect and EIsenmenger syndrome. She is on continuous oxygen therapy and is very limited by dyspnea and fatigue on mild exertion: Diagnosis Sinus rhythm with one premature ventricular complex First degree AV …
Case 48: A 66-Year-Old Man with Severe Dyspnea History Diagnosis History This 66-year-old man is in the Emergency Department with acute exacerbation of severe chronic obstructive lung disease and emphysema: Diagnosis Sinus rhythm, 95/min. Biatrial enlargement Markedly superior axis deviation (negative inferior leads with isoelectric lead I makes it difficult to determine if the superior …
