Case 42: A 57-Year-Old Woman for Annual Check-up History Diagnosis History A 57-year-old woman with no cardiac symptoms and good exercise tolerance, is at her family doctor’s office for her annual check-up, including a routine ECG: Diagnosis Unusual P axis, possible ectopic atrial rhythm otherwise, a normal ECG The P wave is positive in …
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Case 49: A 51-Year-Old Man in the Pre-op Clinic History Diagnosis History A 51-year-old man with good exercise tolerance and no symptoms or abnormal findings on physical examination suggesting cardiac disease, is in the pre-op clinic prior to a scheduled urology procedure: Diagnosis Ectopic atrial rhythm Atrial rate 85/min. – PR 90 msec No other …
Case 56: A 51-Year-Old Woman in the Cardiac Clinic History Diagnosis History A 51-year-old woman is seen for follow-up in the cardiac clinic 4 years after cardiac surgery: Diagnosis Ectopic atrial rhythm, 75/min Incomplete right bundle branch block (iRBBB) This patient had successful atrial septal defect repair. ECG ID: E419
Case 57: A 72-Year-Old Woman with Cardiomyopathy History Diagnosis History A 72-year-old woman with a longstanding history of cardiomyopathy is seen in the emergency department for dyspnea: Diagnosis Ectopic atrial rhythm, 65/min Left bundle branch block ECG ID: E418
Case 134: A 72-Year-Old Man with Slow Heart Rate History Diagnosis History A 72-year-old man with known slow heart rate for many years and good exercise tolerance, is in the office of his family doctor for a routine check-up: Diagnosis Abnormal P axis, compatible with ectopic atrial rhythm (rate 50/min) No other abnormalities The P …
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Case 102: A 32-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with several risk factors for coronary artery disease (family history, hyperlipidemia, and smoking) is seen in the Emergency Department one hour after the onset of severe retrosternal pain radiating to the …
Case 126: A 62-Year-Old Woman in the Cardiac Surgery ICU History Diagnosis History A 62-year-old woman is in the cardiac surgery ICU, postoperative day one from a mitral valve repair and annuloplasty. She had been known to have severe symptomatic mitral regurgitation due to a prolapsed and flail valve, secondary to myxomatous degeneration. Following surgery, …
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Case 85: A 75-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis History This 75-year-old woman has undergone replacement of her aortic valve because of severe aortic stenosis. The preoperative ECG has shown left bundle branch block. The following tracing is recorded shortly after transfer from the OR to the cardiac …
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