Case 16: A 62-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis History A 62-year-old man is presenting with ischemic cardiomyopathy, with severely impaired LV function (LV ejection fraction 21%): Diagnosis Sinus rhythm, 61/min Right axis deviation Nonspecific intraventricular block ECG ID: E456
Case 60: A 41-Year-Old Man with Lupus History Diagnosis History A 41-year-old man with history of lupus diagnosed at age 28 and a myocardial infarction at age 32 for which he was medically treated is complaining of angina and dyspnea for the past 6 months: Diagnosis Sinus rhythm Intraventricular conduction delay Comment: Although the QRS …
Case 51: A 64-Year-Old Woman with Congestive Cardiomyopathy History Diagnosis History A 64-year-old woman is followed in the cardiac clinic for congestive cardiomyopathy of 4 years duration. During the last year she has been stable and failure-free: Diagnosis Sinus rhythm Right superior axis deviation Nonspecific intraventricular block ECG ID: E458
Case 54: A 68-Year-Old Man with Congestive Cardiomyopathy History Diagnosis History A 68-year-old man with 5 year history of congestive cardiomyopathy is in his family physician’s office for a routine assessment. His condition is stable and he has no symptoms or signs of heart failure: Diagnosis Sinus rhythm, 84/min Right superior axis deviation Nonspecific intraventricular block …
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Case 123: A 58-Year-Old Man in the Medical ward in Heart Failure History Diagnosis History A 56-year-old diabetic man with no history of chest pain is in the emergency department in congestive heart failure: Diagnosis Sinus tachycardia, 120/min Nonspecific intraventricular block Possible septal infarction, age undetermined Because of a QS pattern in V1 and V2 …
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Case 1: A 53-Year-Old Man with Shortness of Breath History Diagnosis History A 53-year-old man with a history of ischemic cardiomyopathy and an implanted defibrillator presents to the ICD clinic for routine follow-up. He complains of increased shortness of breath over the last few weeks: Diagnosis Atrial tachycardia with 2:1 AV conduction Non-specific intraventricular conduction block* …
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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 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 51: A 69-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis History This 69-year-old man with ischemic cardiomyopathy is in the cardiac surgical ICU following aorto-coronary bypass: Diagnosis Sinus rhythm Nonspecific intraventricular block ECG ID: E459
Case 91: 78 Year-Old Woman in the Cardiology Ward History Diagnosis History This 78-year-old woman with a long-standing history of coronary artery disease is admitted to the cardiology ward for treatment of congestive heart failure: Diagnosis Sinus rhythm with sinus arrhythmia and premature atrial beats – Ventricular rate 64/min AV dissociation due to a competing junctional rhythm …
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