Case 162: A 76 Year-Old Woman after Recent Abdominal Surgery History Diagnosis History A 76 year old woman is seen on the general surgery floor after recent abdominal surgery because of an abnormal ECG as pictured below. The patient is asymptomatic. Diagnosis Sinus rhythm with both Mobitz I Second Degree AV Block and 2:1 AV …
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Case 10: A 29-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis History This 29-year-old woman with Marfan’s syndrome is in the cardiac surgical intensive care unit 2 days after Bentall procedure (replacement of the aortic valve, aortic root and ascending aorta): Diagnosis Sinus rhythm with 2:1 second degree AV block and junctional escape complexes (escape-capture …
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Case 20: A 53-Year-Old Woman with Episodes of Severe Faintness History Diagnosis ECG 2 ECG 2 Diagnosis History This 53-year-old woman is admitted to the neurology ward following an acute visual field loss. She gave a history of several episodes of near-syncope in the past year. This ECG is recorded: Diagnosis Marked sinus bradycardia (sinus …
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Case 25: A 62-Year-Old Man with Episodes of Presyncope History Diagnosis ECG 2 ECG 2 Diagnosis History This 62-year-old hypertensive diabetic man is referred to the cardiac clinic because of frequent episodes of near-syncope during the past week. He had aorto-coronary bypass surgery 9 years earlier and had been stable and free of chest pain …
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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
Case 38: A 75-Year-Old Man in the Emergency Department History Diagnosis History A 75-year-old man with a longstanding history of coronary artery diseases is in the emergency department complaining of weakness, dyspnea and occasional faintness during the past 2 days: Diagnosis Very slow ectopic atrial rhythm (atrial rate 21/min) with junctional escape complexes (escape-capture bigeminy) …
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Case 53: A 57-Year-Old Woman in the Emergency Room History Diagnosis History This 57-year-old diabetic hypertensive woman, with end-stage renal failure on hemodialysis, is seen in the Emergency Department with fever (38.6 C), nausea, weakness and diarrhea. Her medication includes Atenolol 100 mg daily: Diagnosis Marked sinus bradycardia (30/min) with junctional escape complexes (escape-capture bigeminy). …
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Case 64: An 82-Year-Old Man with Abnormal ECG History Diagnosis History This 82-year-old man is referred by his family physician because of the ECG abnormalities. He lives in a senior citizen apartment and is active and symptom-free with no history of dizziness or syncope: Diagnosis Sinus rhythm with type II sino-atrial exit block Junctional escape …
Case 84: A 42-Year-Old Woman After Ablation Procedure History Diagnosis History This 42-year-old woman, who had frequent prolonged episodes of AVNRT, underwent an ablation procedure. This ECG tracing is recorded shortly after the end of the procedure: Diagnosis Sinus rhythm Second degree AV block Junctional escape complexes (escape-capture bigeminy) Ventricular rate 49/min ECG ID: E271
Case 88: A 79-Year-Old Man in the Cardiac Surgical ICU History Diagnosis History This 79-year-old man who had severe aortic stenosis is in the cardiac surgery ward 6 hours after successful aortic valve replacement: Diagnosis Marked sinus bradycardia with an escape junctional pacemaker Ventricular rate 47/min Non-specific T wave abnormality ECG ID: E773
