Case 18: An 82-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 82-year-old woman is in the cardiac ICU after replacement of her aortic valve due to severe aortic stenosis: Diagnosis Sinus rhythm with complete heart block Escape rhythm has wide QRS with ventricular rate 66/min (likely junctional rhythm …
Case 18: An 82-Year-Old Woman in the Cardiovascular ICU Read More »
Case 40: A 50-Year-Old Man in the Cardiac Surgical Ward History Diagnosis ECG 2 ECG 2 Diagnosis History A 50-year-old man is in the cardiac surgical ward two days after bypass surgery: Diagnosis Sinus tachycardia, 115/min, with complete heart block Junctional escape rhythm, with incomplete right bundle branch block (iRBBB) pattern and nonspecific ST abnormality …
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Case 55: A 63-Year-Old Man in the Cath Lab History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 63-year-old man presents to the cardiac catherization lab six days after an acute myocardial infarction. His symptoms initially had improved with fibrinolysis, however he had recurrent chest pain after 24 hours, and …
Case 124: A 39-Year-Old Woman with a Left Atrial Myxoma History Diagnosis ECG 2 ECG 2 Diagnosis History A 39-year old woman is postoperative day one from the resection of a left atrial myxoma: Diagnosis Sinus rhythm with complete heart block and junctional escape rhythm Atrial rate 66/min, ventricular rate 53/min Acute pericarditis During her …
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Case 140: A 60-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis History This 60-year-old man presents to the Emergency Department following an episode of syncope at home, lasting less than one minute. He reports having suffered from a myocardial infarction four years prior, from which he had made a good recovery and …
Case 154: A 61-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History This 61-year-old man is admitted with infective endocarditis of the mitral valve: Diagnosis Atrial flutter Complete heart block with a wide-QRS escape rhythm (right bundle branch block pattern) Ventricular rate 54/min When patients with atrial flutter develop …
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Case 155: A 69-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 69-year-old woman was brought to the Emergency Department because of the recent onset of episodes of presyncope: Diagnosis Sinus rhythm with third degree AV block Escape wide-QRS rhythm , rate 45/min The narrow-QRS complex at the beginning …
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Case 159: A 75-Year-Old Woman who had a Recent CABG History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 75-year-old woman is on the cardiac surgery ward two days after coronary artery bypass surgery: Diagnosis Atrial fibrillation with a junctional escape rhythm (rate 46/min). Consider the possibility of complete heart …
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Case 167: A 64 Year-Old Woman Two Days After TAVR History Diagnosis ECG 2 ECG 2 Diagnosis History A 64yr woman undergoes transcatheter aortic valve replacement (TAVR) for severe symptomatic aortic stenosis. The following ECG is recorded 2 days after her surgery. Diagnosis Sinus rhythm, 100/min RBBB, LAFB (Bifascicular block) Transient complete heart block with …
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Case 6: A 72-Year-Old Man in Pacemaker Clinic History Diagnosis History A 72-year-old man presents to pacemaker clinic for routine assessment. He complains of feeling weaker now than on his previous visit: Diagnosis Sinus rhythm with complete heart block VVI pacemaker with adequate sensing and capture Single isolated premature ventricular complex ECG ID: E781
