Case 124: A 39-Year-Old Woman with a Left Atrial Myxoma History Diagnosis ECG 2 ECG 2 Diagnosis History A 39-year old woman is postoperative day one from the resection of a left atrial myxoma: Diagnosis Sinus rhythm with complete heart block and junctional escape rhythm Atrial rate 66/min, ventricular rate 53/min Acute pericarditis During her …
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Case 126: A 62-Year-Old Woman in the Cardiac Surgery ICU History Diagnosis History A 62-year-old woman is in the cardiac surgery ICU, postoperative day one from a mitral valve repair and annuloplasty. She had been known to have severe symptomatic mitral regurgitation due to a prolapsed and flail valve, secondary to myxomatous degeneration. Following surgery, …
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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 144: A 55-Year-Old Woman in the Neurosurgery ICU History Diagnosis History This 55-year-old woman had surgery two day ago for the removal of a left temporal lobe tumor. Postoperatively, her heart rate was noted to be slow: Diagnosis Marked sinus bradycardia (38/min) with sinus arrhythmia Escape junctional bradycardia with isorhythmic AV dissociation There is …
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Case 159: A 75-Year-Old Woman who had a Recent CABG History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 75-year-old woman is on the cardiac surgery ward two days after coronary artery bypass surgery: Diagnosis Atrial fibrillation with a junctional escape rhythm (rate 46/min). Consider the possibility of complete heart …
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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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Case 101: A 52-Year-Old Man Seen in Cardiac Clinic History Diagnosis History This 52-year-old man with history of hypertension and episodes of paroxysmal atrial fibrillation is seen in the cardiac clinic for follow-up assessment: Diagnosis Sinus bradycardia with sinus arrhythmia – Atrial rate 48, min AV dissociation, with junctional escape rhythm and occasional AV capture …
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Case 117: A 17 Year-Old Woman with an Abnormal ECG History Diagnosis History A 17 year old woman is admitted to the psychiatry service. Prior to starting medications, a routine ECG is performed and shown below: Diagnosis Marked sinus bradycardia (P-waves noted with “P”) Junctional Escape Rhythm Intermittent Capture beats (3rd complex) Comment: The p-waves …
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