Lateral Myocardial Infarction Archives

Case 37: A 63-Year-Old Woman in the Cardiac Clinic for Reassessment

Case 37: A 63-Year-Old Woman in the Cardiac Clinic for Reassessment History Diagnosis History A 63-year-old woman with a 4 year history of coronary artery disease is in the cardiac clinic for reassessment. She is stable, with infrequent mild angina on exertion: Diagnosis Sinus tachycardia with frequent non-conducted premature atrial complexes (PAC) Left axis deviation …

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Case 42: A 52-Year-Old Man with Recent Hospital Admission

Practice Level 3

Case 42: A 52-Year-Old Man with Recent Hospital Admission History Diagnosis History A 52-year-old man admitted 1 week earlier with retrosternal chest pain that lasted about one hour and mild troponin elevation is referred for further investigation and treatment: Diagnosis Sinus rhythm, 82/min Lateral myocardial infarction Coronary angiography demonstrated a total occlusion of the marginal …

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Case 63: A 54-Year-Old Woman in the Emergency Department

Practice Level 3

Case 63: A 54-Year-Old Woman in the Emergency Department History Diagnosis History A 54-year-old woman with a 6 month history of occasional retrosternal pain on exertion is seen in the Emergency Department complaining of oppressive anterior chest discomfort, dyspnea and palpitation: Diagnosis Atrial fibrillation with rapid ventricular response (168/min) Lateral myocardial infarction, age undetermined (40 …

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Case 91: A 43-Year-Old Man in the Cardiac Clinic

Practice Level 3

Case 91: A 43-Year-Old Man in the Cardiac Clinic History Diagnosis History A 43-year-old man who had an aorto-coronary bypass surgery 2 years ago is followed in the cardiac clinic with stable condition: Diagnosis Sinus rhythm Left atrial enlargement Lateral myocardial infarction, age undetermined ECG ID: E292

Case 124: A 42-Year-Old Man with Chest Pain

Practice Level 3

Case 124: A 42-Year-Old Man with Chest Pain History Diagnosis History A 42-year-old diabetic man is seen by his family physician because of three episodes of anterior chest discomfort and breathlessness during the past two months: Diagnosis Sinus rhythm Left atrial enlargement Lateral myocardial infarction, age undetermined ST and T abnormality, consider inferior ischemia ECG …

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Case 5: A 69-Year-Old Man in the Cardiac Clinic

Practice Level 4

Case 5: A 69-Year-Old Man in the Cardiac Clinic History Diagnosis History This 69-year-old man presents to the cardiac clinic for his yearly assessment. Seven years ago, he suffered from a myocardial infarction that was treated successfully with angioplasty. He has no cardiac complaints, and is able to do moderately heavy exercise without discomfort: Diagnosis …

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Case 32: A 67-Year-Old Man in the Cardiac Ward

Practice Level 4

Case 32: A 67-Year-Old Man in the Cardiac Ward History Diagnosis History This 67-year-old man with a long history of coronary artery disease is admitted to the cardiac ward for investigation of frequent angina: Diagnosis Atrial fibrillation with frequent premature ventricular complexes (PVCs) Onset of ventricular tachycardia (rate 145/min) – One fusion complex. Ventricular rate …

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