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 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 7: A 64-Year-Old Man in Pacemaker Clinic History Diagnosis History A 64-year-old man presents to the pacemaker clinic for routine assessment. He is asymptomatic: Diagnosis Dual chamber pacemaker (as evidenced by two pacemaker spikes on 3rd QRS complex) with intermittent atrial undersensing lead V1 is disconnected for first 2 seconds of recording Poor R-wave …
Case 18: A 46-Year-Old Man with Non-Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History A 46-year-old man with a nonischemic dilated cardiomyopathy most likely secondary to a viral myocarditis from which he suffered 8 years earlier whom at the time of his myocarditis had a pacemaker implanted because of second degree AV block …
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Case 19: A 67-Year-Old Man in Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 67-year-old man is admitted because of congestive heart failure due to ischemic cardiomyopathy. Ten years ago he had a myocardial infarction complicated by episodes of ventricular tachycardia, for which he received an ICD (Implantable Cardioverter Defibrillator) implant. …
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Case 36: A 79-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 79-year-old man is admitted with infective endocarditis and a para-aortic abscess. He underwent aortic valve replacement and debridement of the abscess: Diagnosis Atrial Flutter Complete heart block with escape accelerated junctional rhythm (76/min} Poor …
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Case 92: A 68-Year-Old Man with Episodes of Near Syncope History Diagnosis ECG 2 ECG 2 Diagnosis History A 64-year-old retired police officer has been experiencing during the past year almost daily episodes of lightheadedness and occasionally “near-fainting”, lasting 2-5 minutes. He has been otherwise in excellent state of health and exercised regularly and vigorously: Diagnosis …
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Case 98: An 80-Year-Old Woman with Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History An 80-year-old is presenting woman with ischemic cardiomyopathy and advanced heart failure (New York Hear Association class III), despite optimal medical therapy. Left ventricular ejection fraction is 27%. Diagnosis Sinus rhythm, 60/min Left bundle branch block – QRS duration …
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Case 111: A 63-Year-Old Man with Prosthetic Aortic Valve History Diagnosis ECG 2 ECG 2 Diagnosis History A 63-year-old man, is presenting 6 months after replacement of aortic valve because of severe symptomatic aortic stenosis. After surgery he did well and was asymptomatic until one week ago, when he started complaining of tiredness, weakness, and …
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Case 115: A 61 Year-Old Woman in the Defibrillator Clinic History Diagnosis History A 61 year old woman with a longstanding history of non-ischemic cardiomyopathy is seen in defibrillator clinic for routine follow-up. She states that she has been somewhat more short of breath in the last several weeks. Diagnosis Underlying sinus rhythm AV sequential …
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