Case 93: A 45-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 45-year-old man was referred to the EP clinic because of episodic palpitations since he was a teenager, occuring once or twice a year and lasting from a few minutes to one hour. Recently, his palpitations have been more frequent, …
Case 96: A 38-Year-Old Man who Fainted History Diagnosis Electrophysiologic Study ECG 2 Diagnosis History This 38-year-old man was brought to the Emergency Department after an episode of syncope. During the previous night, when getting up to urinate he felt transiently dizzy. He returned to bed, and and promptly his symptoms improved. On the way …
Case 112: A 55-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 55-year-old diabetic man with a two year history of mild angina is brought to the Emergency Department three hours after the onset of constrictive central anterior chest pain: Diagnosis Sinus rhythm Incomplete right …
Case 119: A 51-Year-Old Woman with Palpitations History Diagnosis History This 51 year old woman presents with palpitations, that she describes as a sensation of irregular pounding in her precordium.She has no other cardiac symptoms: Diagnosis Sinus rhythm with frequent premature atrial complexes with aberrant conduction The pattern of aberration varies (iRBBB, RBBB, LBBB). ECG …
Case 131: A 68-Year-Old Woman with Heart Failure History Diagnosis History This 68-year-old woman is in hospital for treatment of severe congestive heart failure secondary to rheumatic valvular disease: Diagnosis Atrial fibrillation – ventricular rate 66/min Incomplete right bundle branch block (iRBBB) ST depression, prominent U waves, with marked QT-U prolongation (QTU 612ms – cQTU …
Case 131: A 68-Year-Old Woman with Heart Failure Read More »
Case 140: A 60-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis History This 60-year-old man presents to the Emergency Department following an episode of syncope at home, lasting less than one minute. He reports having suffered from a myocardial infarction four years prior, from which he had made a good recovery and …
Case 17: A 70-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 70-year-old woman with a history of palpitation during the past 2 months is seen in the emergency department with recurrence of palpitation and dyspnea: Diagnosis Atrial Fibrillation – Ventricular rate 113/min Incomplete right bundle branch block (iRBBB) …
Case 17: A 70-Year-Old Woman in the Emergency Department Read More »
Case 28: A 32-Year-Old Woman Found Unconscious at Home History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History This 32-year-old woman is found unconscious by a friend on her apartment’s floor. Near her was an empty medication bottle: Diagnosis Sinus rhythm, 63/min Wide P waves (P …
Case 28: A 32-Year-Old Woman Found Unconscious at Home Read More »
Case 31: A 46-Year-Old Woman with Cyanosis and Clubbing History Diagnosis History A 46-year-old woman known to have cyanotic congenital heart disease, is severely disabled: Diagnosis Sinus Rhythm First degree AV block Right atrial enlargement Incomplete right bundle branch block (iRBBB) Left anterior fascicular block Possible right ventricular hypertrophy Voltage criteria for left ventricular hypertrophy …
Case 31: A 46-Year-Old Woman with Cyanosis and Clubbing Read More »
Case 35: A 66-Year-Old Man in the Emergency Department History Diagnosis History A 66-year-old man is in the Emergency Department: Diagnosis Sinus bradycardia with marked sinus arrhythmia – Ventricular rate 56/min Occasional junctional escape complexes Incomplete right bundle branch block (iRBBB) alternating with complete right bundle branch block (rate-related aberrancy) ECG ID: E528
