Case 72: A 73-Year-Old Woman in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old woman with history of hypertension and mild stable angina is seen for a routine assessment: Diagnosis Sinus bradycardia, 50/min Left anterior fascicular block (LAFB) Right bundle branch block (RBBB) RBBB plus LAFB (Bifascicular block) ECG 2 …
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Case 94: A 23-Year-Old man with Acute Chest Pain who Collapsed History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 23-year-old man with previous history of alcohol abuse and use of marijuana and cocaine was in a nightclub, drinking alcohol and smoking marijuana, when he developed severe anterior chest pain, …
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Case 109: A 55-Year-Old Man with Atypical Chest Pain History Diagnosis History A 55-year-old man with dyslipidemia and hypertension is referred to the cardiac clinic by his family physician because of a change of his ECG findings and atypical chest pain. His ECG had been previously normal: Diagnosis Sinus bradycardia, 55/min. Right bundle branch block …
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Case 113: A 75-Year-Old Man with Recent Change to ECG History Diagnosis ECG 2 History A 75-year-old man, followed in the cardiac clinic. He had triple aorto-coronary bypass surgery 15 year ago. He has remained stable and symptom-free during moderate exercise. His family doctor has referred him because his ECG has recently changed. He has …
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Case 127: A 79-Year-Old Man after Aortic Valve Replacement History Diagnosis History A 79-year-old man had replacement of his aortic valve with a bio-prosthesis because of severe calcific aortic stenosis. This ECG tracing is recorded at the end of the operation: Diagnosis Sinus rhythm, with Mobitz II second degree AV block Right bundle branch block (RBBB) …
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Case 129: A 73-Year-Old Woman in Cardiology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old woman suffered from a myocardial infarct 6 years ago, but recovered and is free of angina. Routine ECG recorded in the cardiac clinic is as follow: Diagnosis Sinus bradycardia, 50/min Left anterior fascicular block (LAFB) and Right bundle branch …
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Case 33: A 60-Year-Old Woman who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 60-year-old woman is sent to the Emergency Dept. by her family physician, who had seen her after an episode of sudden-onset syncope, lasting several minutes. She reports a one month history of brief episodes …
Case 60: An 82-Year-Old Man in the Cardiac Surgical ICU History Diagnosis History An 82-year-old man is in the cardiac surgical ICU, one day after a triple aorto-coronary bypass: Diagnosis Sinus rhythm, 97/min Bifascicular block – Right bundle branch block and left posterior fascicular block ST and T wave abnormality, consider inferior ischemia ST abnormality, …
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Case 149: A 74-Year-Old Man Scheduled for Cardiac Surgery History Diagnosis ECG 2 ECG 2 Diagnosis ECG Comparison History This 74-year-old man with a history of coronary artery disease is scheduled to undergo aorto-coronary bypass surgery: Diagnosis Sinus rhythm, 58/min Left anterior fascicular block ECG 2 Two days after successful and uncomplicated aorto-coronary bypass surgery, …
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Case 27: A 59-Year-Old Man in the Emergency Department History Diagnosis History This 59-year-old man was brought to the Emergency Department after an episode of sudden syncope lasting three minutes while at work. On arrival, he had no complaints. His vitals and neurological examination were normal. He reports two occasions during the past three months where …
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