Case 9: A 56-Year-Old Man Complaining of Fatigue History Diagnosis History This 56-year-old man reports that he had been well prior to one week ago, when he had an episode of syncope that lasted 15-20 seconds. Since then he reports fatigue and dyspnea on moderate exertion: Diagnosis Sinus rhythm Complete heart block with junctional escape …
Case 9: A 56-Year-Old Man Complaining of Tiredness Read More »
Case 19: A 76-Year-Old Man Presents to ER with Dyspnea History Diagnosis History This 76-year-old man with a long-standing history of diabetes and hypertension presents to the emergency room with a two week history of shortness of breath. He had just been seen by his general practitioner who noted a slow pulse and referred him …
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Case 43: A 59-Year-Old Man in Clinic with Fatigue History Diagnosis History A 59-year-old man is at his family doctor’s for complaint of one week history of marked tiredness: Diagnosis Sinus rhythm with complete heart block Wide-QRS escape rhythm (right bundle branch block pattern) Ventricular rate 39/min There is sinus rhythm with rate 67 …
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Case 48: A 82-Year-Old Man with an Episode of Syncope History Diagnosis History A 82-year-old man with complaints of weakness and fatigue during the past week is brought to the Emergency Department after an episode of sudden loss of consciousness that lasted approximately 10 minutes: Diagnosis Sinus rhythm, 80/min with complete heart block Wide-QRS rhythm, 37/min, …
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Case 22: A 72-Year-Old Man in the Cardiac Clinic History Diagnosis History A 72-year-old man is in the cardiac clinic: Diagnosis Electronic ventricular pacemaker, rate 53/min Underlying sinus rhythm with complete heart block One premature ventricular complex There are regular sinus P waves (rate 67/min), with complete AV block. There is a single chamber ventricular …
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Case 31: A 77-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 77-year-old man is presenting to the emergency department for episodes of severe weakness and near-syncope during the past 24 hours: Diagnosis Atrial flutter with complete heart block Escape wide QRS rhythm, with right bundle branch block pattern …
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Case 64: A 58-Year-Old Man in the Coronary Care Unit History Diagnosis History A 58-year-old man is admitted to the coronary care unit with severe central anterior chest pain of 4 hour duration. This ECG tracing is recorded 2 hours after his admission: Diagnosis Sinus rhythm, 90/min Complete heart block,with escape junctional rhythm, 47/min Acute …
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Case 73: A 82-Year-Old Woman Who Fainted History Diagnosis History This 82 year old woman fainted suddenly while at home. She recovered consciousness after a few minutes and was brought by ambulance to the Emergency department. She appeared drowsy and confused. Diagnosis Sinus rhythm with complete heart block Very slow ventricular escape rhythm (19/min) ECG …
Case 133: A 51-Year-Old Man Referred from the Pre-op Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 51-year-old man was assessed prior to a cholecystectomy and found to have an arrhythmia. During the previous 6 months he had noted fatigue and mild dyspnea on walking hastily: Diagnosis Sinus rhythm with complete heart block …
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Case 13: A 76-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis History You are notified about an abnormal ECG in a 76-year-old man admitted to the acute care unit with infective endocarditis of his prosthetic aortic valve: Diagnosis Sinus rhythm with Mobitz I second degree AV block – Ventricular rate 82/min Right bundle …
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