Case 18: A 56-Year-Old Woman in Cardiac Catheterization Lab History Diagnosis ECG 2 ECG 2 Diagnosis Comparing ECG 1 vs. ECG 2 History A 56-year-old woman with recent onset of angina is in the cardiac catheterization lab for coronary angiography: Diagnosis The P wave and the QRS are negative in I and aVL, positive in …
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Case 19: A 78-Year-Old Man with an Acute Ischemic Leg History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old man with an acute ischemic left leg is admitted for urgent femoro-popliteal bypass: Diagnosis Lear error, right arm – left arm reversal Please repeat ECG with correct lead placement. ECG 2 A second ECG is …
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Case 1: A 78-Year-Old Woman in the Cardiology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 78-year-old woman with moderately severe mitral regurgitation due to mitral valve prolapse is followed in the cardiology clinic. Her condition is stable and has no cardiac symptoms: Diagnosis Sinus rhythm, 84/min Normal …
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Case 29: A 58-Year-Old Man in the Diabetic Clinic History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Slide History A 58-year-old man with no cardiac complaints is seen for a reassessment in the diabetes clinic: Diagnosis Lead placement error: Right Arm – Right Leg Reversal (this preclude the assessment of the limb leads) In the chest …
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Case 30: A 37-Year-Old Man in the Emergency with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Slide History A 37-year-old man is in the Emergency Department with localized anterior chest pain made worse by palpation of the chest wall: Diagnosis Lead placement error: Right Arm – Right leg reversal (this precludes the interpretation …
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Case 59: A 47-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 47-year-old woman is presenting to the Emergency department, complaining of epigastric discomfort of several hours duration: Diagnosis Suspect Lead error (incorrect placement of the V1, V2, V3 electrodes) Otherwise, a normal ECG …
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Case 60: A 73-Year-Old Man in the Emergency with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old man in the Emergency Department with epigastric pain of 30 min duration: Diagnosis Suspect lead error Right arm – left arm reversal Please, repeat ECG. ECG 2 An ECG is recorded 15 minutes later, …
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Case 62: A 69-Year-Old Man admitted for Coronary Angioplasty History Diagnosis ECG 2 ECG 2 Diagnosis History A 69-year-old man with known symptomatic coronary artery disease is admitted for angioplasty of his circumflex artery: Diagnosis Suspect lead error (Right Arm – Left Arm Reversal) Sinus rhythm, left bundle branch block Please, repeat the ECG. In …
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Case 145: Why the Marked Changes in ECG 2? History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Diagram History This 73 year old man on hemodialysis for chronic renal failure presented with prolonged chest pain and serum troponin elevation. Coronary angiography demonstrated complex lesions of the left anterior descending and circumflex arteries unsuitable for angioplasty. …
Case 8: A 76-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis Illustrative Diagram ECG 3 ECG 3 Diagnosis History A 76-year-old man is referred by his family physician because of poor oral intake, weight loss, and severe fatigue over the past 2 weeks: Diagnosis Sinus tachycardia One premature ventricular complex Tall …
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