Case 27: A 70-Year-Old man in the Emergency Department History Diagnosis History A 70-year-old man with a long history of coronary artery disease is in the Emergency Department complaining of dyspnea: Diagnosis Electronic pacemaker Normal sinus rhythm, 60/min DDD pacing (atrial sensed, ventricular paced rhythm) The atrial activation (P) is sensed and is followed by …
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Case 19: A 83-Year-Old Man in the Cardiac Clinic History Diagnosis History A 83-year-old man is in the cardiac clinic: Diagnosis DDD pacing (atrial sensed, ventricular paced rhythm) Underlying sinus tachycardia, 109/min, Comment: The atrial activation (P) is sensed and is followed, after the programmed AV interval, by a ventricular paced output (the “spike”, a …
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Case 20: A 82-Year-Old Woman with Chest Pain History Diagnosis History A 82-year-old woman is admitted to the CCU with chest pain: Diagnosis DDD pacing (atrial paced, ventricular paced rhythm) ECG ID: E624
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 148: A 79 Year-Old Woman in Hospital with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 79 year-old woman is admitted to hospital with palpitations. Because of a previous history of atrial fibrillation, she had been started on a combination of flecainide and bisoprolol. She presented to …
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Case 150: A 76 Year-Old Woman Seen in the Structural Heart Clinic History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History A 76yr woman with severe symptomatic aortic stenosis is seen in the structural heart clinic. Her baseline ECG is shown below: Diagnosis Sinus rhythm, 65/min …
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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 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 41: A 62-Year-Old Man with Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 62-year-old man with a five year history of nonischemic cardiomyopathy is in stable but advanced heart failure (NYHA class III) despite optimal medical therapy. His left ventricular ejection fraction is 18%: Diagnosis Sinus rhythm, 70/min Left bundle branch block …
Case 45: An 82-Year-Old Man in the Cardiac Ward History Diagnosis History An 82-year-old man is admitted to the cardiology ward: Diagnosis DDD pacing (Atrial and ventricular sequential pacing), rate 63/min Premature ventricular complex followed by atrial sensing and ventricular pacing ECG ID: E626
