Case 148: A 79 Year-Old Woman in Hospital with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 79 year-old woman is admitted to hospital with palpitations. Because of a previous history of atrial fibrillation, she had been started on a combination of flecainide and bisoprolol. She presented to …
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Case 36: An 83-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 83-year-old woman is brought to the Emergency Department from her nursing home after a brief episode of syncope: Diagnosis Sinus rhythm with 2:1 AV block – ventricular rate 59/min, PR markedly prolonged (436 msec) Right bundle branch …
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Case 39: A 66-Year-Old Man in the CICU History Diagnosis History A 66-year-old man is in the cardiac ICU one day after a triple aorto-coronary bypass surgery: Diagnosis Sinus rhythm with Mobitz II second degree AV block and one junctional escape complex The long P-P interval is close to 3x the basic P-P interval Ventricular rate …
Case 43: A 70-Year-Old Man with Episodic Presyncope History Diagnosis History This 70-year-old man presents to the Emergency Department with episodic presyncope and weakness for the past several weeks. He has a history of paroxysmal atrial fibrillation, with mild symptoms during the past year: Diagnosis Sinus rhythm with a 6.28 second sinus pause and two …
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Case 48: A 65-Year-Old Woman who Fainted History Diagnosis History This 65-year-old woman is brought to the Emergency Department following an episode of syncope lasting 30 seconds. In the previous 2 weeks she reports feeling weak and lightheaded: Diagnosis Sinus rhythm with high grade AV block Sinus rate 76/min, ventricular rate 37/min Junctional escape complexes …
Case 109: A 78-Year-Old Man in the Cardiac Clinic History Diagnosis History This 78-year-old man who had aorto-coronary bypass surgery ten years ago is in the cardiac clinic for a routine follow-up. He is stable and free of dyspnea or chest pain during moderate exertion. He denies any dizziness or syncope: Diagnosis Sinus rhythm with …
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Case 114: A 43-Year-Old Man with a Slow Pulse History Diagnosis History A 43-year old man is referred for bradycardia and occasional brief dizziness. He reports being very active, running several miles five days a week, without symptoms: Diagnosis Sinus rhythm with type II Sino-Atrial exit block and junctional escape complexes Ventricular rate 52/min The …
Case 125: A 75-Year-Old Woman in the Emergency Department History Diagnosis History A 75-year-old woman presents to the emergency department with “dizzy spells”. She reports having stable angina for past two years: Diagnosis Sinus bradycardia with Sino-atrial Exit Block Type II Junctional escape complexes Left axis deviation ST-T abnormality, consider lateral ischemia ECG ID: E316
Case 127: A 43-Year-Old Woman with Presyncope History Diagnosis History 43 year old woman referred to the cardiac clinic because of episodic presyncope: Diagnosis Sinus rhythm with Mobitz II second degree sinoatrial exit block Junctional escape complexes ECG ID: E315
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 …
