Case 50: A 56-Year-Old Woman with a Heart Murmur History Diagnosis History This 56-year-old woman was discovered to have a heart murmur in her teens. She was told that “she was born with it”. In the past 10 years she had developed increasing dyspnea on exertion, moderate cyanosis and finger clubbing: Diagnosis Sinus rhythm Biatrial …
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Case 54: A 65-Year-Old Woman in the Medical ICU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History A 65-year-old schizophrenic woman, known to have obstructive lung disease, is admitted to the medical ICU with left lower lobe pneumonia and severe hypoxia: Diagnosis Sinus tachycardia, 100/min Right axis deviation Low QRS voltage ECG 2 …
Case 59: A 69-Year-Old Man with Recurrent Syncope History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 69-year-old man is admitted after a nocturnal episode of loss of consciousness and seizures, that was witnessed by his wife. He was pale, pulseless and stopped breathing. His wife started CPR and called …
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Case 67: A 79-Year-Old Man with Syncope History Diagnosis History This 79-year-old man had a myocardial infarction at age 71. He has been stable with infrequent angina since. He is seen in the cardiac clinic because on the previous day he had an episode of syncope: Diagnosis Sinus rhythm with high grade AV block Occasional …
