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 19: A 45-Year-Old Man in the Cardiac Ward History Diagnosis ECG 2 ECG 2 Diagnosis History This 45-year-old man was diagnosed two years ago with dilated cardiomyopathy of unknown etiology. He was symptom-free until three weeks ago when he started complaining of frequent palpitations associated with weakness and occasional near-syncope. He has been admitted …
Case 27: A 61-Year-Old Man in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG Diagnosis History This 61-year-old man underwent closure of a large primum atrial septal defect (2.5 cm in width and 2.9 cm in height) with a pericardial patch and repair of …
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Case 35: An 83-Year-Old Man in Low-Output Failure History Diagnosis History This 80-year-old man with known ischemic cardiomyopathy presents to the Emergency Department with severe low-output failure, hypotension, and hypoxemia. He denies any chest pain: Diagnosis Sinus rhythm, with a run of non-sustained atrial tachycardia, ventricular rate 80/min First degree AV block Nonspecific Intraventricular Block …
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Case 65: A 71-Year-Old Man with Episodic Syncope History Diagnosis Telemetry Telemetry Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 71-year-old man endorses a six month history of episodic weakness and pre-syncope. In the past month, he reports losing consciousness on several occasions, with episodes lasting 10-30 seconds. He presents …
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Case 79: A 65-Year-Old Woman in the Cardiac Clinic History Diagnosis History This 65-year-old woman with an eight-year history of coronary artery disease presents to the cardiac clinic for her annual assessment. She had an aortocoronary bypass surgery five years ago, and is free of angina. Her echocardiogram shows diffuse LV hypokinesis, with an ejection …
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Case 89: A 48-Year-Old Woman with Trisomy 21 History Diagnosis History This 48-year-old woman with Trisomy 21 has a known large ventricular septal defect and EIsenmenger syndrome. She is on continuous oxygen therapy and is very limited by dyspnea and fatigue on mild exertion: Diagnosis Sinus rhythm with one premature ventricular complex First degree AV …
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 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 27: A 59-Year-Old Man in the Emergency Department History Diagnosis History This 59-year-old man was brought to the Emergency Department after an episode of sudden syncope lasting three minutes while at work. On arrival, he had no complaints. His vitals and neurological examination were normal. He reports two occasions during the past three months where …
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