Case 6: A 78-Year-Old Woman with a Heart Murmur History Diagnosis History This 78-year-old woman has been known to have a heart murmur for the past 8 years: Diagnosis Sinus rhythm with sinus arrhythmia – Rate 75/min 1st degree AV block (PR=230 msec) Left ventricular hypertrophy with repolarization abnormalities On review of a previous …
Case 34: A 54-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 54-year-old man with type 2 diabetes, hypertension and hypercholesterolemia is brought by ambulance to the Emergency Department 1 hour after the onset of severe retrosternal pain: Diagnosis Sinus rhythm with first degree AV block Acute inferior myocardial …
Case 34: A 54-Year-Old Man in the Emergency Department Read More »
Case 61: An 86 Year-Old Man seen in Cardiac Clinic History Diagnosis History An 86 year old man with remote history of myocardial infarction is seen in the cardiac clinic for routine follow-up. He is asymptomatic. Diagnosis Sinus bradycardia, rate 55/min First degree AV block, PR = 260ms Right bundle branch block Left anterior fascicular …
Case 61: An 86 Year-Old Man seen in Cardiac Clinic Read More »
Case 12: A 76-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 76-year-old woman with documented non-ischemic cardiomyopathy is brought to the Emergency Department with palpitation, severe dyspnea and weakness of 1 1/2 hour duration: Diagnosis Wide QRS tachycardia, 150/min Most likely VENTRICULAR TACHYCARDIA In favour of the diagnosis of …
Case 12: A 76-Year-Old Woman in the Emergency Department Read More »
Case 14: A 66-Year-Old Man in the Cardiac ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 66-year-old stable man in satisfactory condition is admitted to the cardiac ICU after successful aorto-coronary bypass surgery: Diagnosis Sinus rhythm, 93/min with marked first degree AV block (PR = 800 msec) One premature ventricular complex ST-T abnormality, …
Case 32: A 72-Year-Old Woman with Angina History Diagnosis History A 72-year-old woman with a past history of myocardial infarction and bypass surgery is admitted for investigation of frequent angina on exertion: Diagnosis Sinus rhythm, 62/min 1st degree AV block (PR = 480 msec.) Incomplete right bundle branch block (iRBBB) ST and T abnormality, consider …
Case 35: A 39-Year-Old Man with Episodes of Paroxysmal Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 39-year-old man is referred to the EP clinic because of occasional episodes of palpitation since his early twenties: Diagnosis Sinus rhythm Wolff-Parkinson-White ECG 2 EP studies reveals a left lateral bypass tract that is successfully …
Case 35: A 39-Year-Old Man with Episodes of Paroxysmal Palpitation Read More »
Case 62: A 69-Year-Old Man admitted for Coronary Angioplasty History Diagnosis ECG 2 ECG 2 Diagnosis History A 69-year-old man with known symptomatic coronary artery disease is admitted for angioplasty of his circumflex artery: Diagnosis Suspect lead error (Right Arm – Left Arm Reversal) Sinus rhythm, left bundle branch block Please, repeat the ECG. In …
Case 62: A 69-Year-Old Man admitted for Coronary Angioplasty Read More »
Case 66: An 89-Year-Old Man in the ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 89-year-old man with hypertension, diabetes and coronary artery disease suffered cardiac arrest at home. When the Emergency Medical Service arrived he was pulseless, but shortly afterwards there was spontaneous return of circulation. He is admitted to ICU and …
Case 114: A 68-Year-Old Man with Chest Pain History Diagnosis History A 68-year-old man is in the Emergency Department complaining of crushing central anterior chest pain that started 30 minutes earlier: Diagnosis Sinus Bradycardia, 55/min First degree AV block Left bundle branch block ECG ID: E225
