Case 47: A 44-Year-Old Man with Pre-operative ECG History Diagnosis History A 44-year-old man with no cardiac complaints is scheduled to undergo removal of a benign rectal tumor: Diagnosis Sinus rhythm Left anterior fascicular block ECG ID: E165
Case 57: A 78-Year-Old Man at a Routine Office Visit History Diagnosis History A 78-year-old moderately active man without chest pain or dyspnea is seen by his family physician for a routine examination: Diagnosis Sinus rhythm Left axis deviation (QRS positive in lead I, negative in aVF and II) Left anterior fascicular block ECG …
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Case 61: An 86 Year-Old Man seen in Cardiac Clinic History Diagnosis History An 86 year old man with remote history of myocardial infarction is seen in the cardiac clinic for routine follow-up. He is asymptomatic. Diagnosis Sinus bradycardia, rate 55/min First degree AV block, PR = 260ms Right bundle branch block Left anterior fascicular …
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Case 66: An 89-Year-Old Man in the ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 89-year-old man with hypertension, diabetes and coronary artery disease suffered cardiac arrest at home. When the Emergency Medical Service arrived he was pulseless, but shortly afterwards there was spontaneous return of circulation. He is admitted to ICU and …
Case 72: A 73-Year-Old Woman in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old woman with history of hypertension and mild stable angina is seen for a routine assessment: Diagnosis Sinus bradycardia, 50/min Left anterior fascicular block (LAFB) Right bundle branch block (RBBB) RBBB plus LAFB (Bifascicular block) ECG 2 …
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Case 94: A 23-Year-Old man with Acute Chest Pain who Collapsed History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 23-year-old man with previous history of alcohol abuse and use of marijuana and cocaine was in a nightclub, drinking alcohol and smoking marijuana, when he developed severe anterior chest pain, …
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Case 108: A 43-Year-Old Woman with Asthma History Diagnosis History A 43-year-old woman is presenting to the emergency department complaining of exacerbation of her asthma. She often complains of palpitation that she describes as a sensation of “thumps in her chest”: Diagnosis Sinus rhythm with premature atrial complexes (one with aberrant conduction) Left atrial enlargement …
Case 109: A 55-Year-Old Man with Atypical Chest Pain History Diagnosis History A 55-year-old man with dyslipidemia and hypertension is referred to the cardiac clinic by his family physician because of a change of his ECG findings and atypical chest pain. His ECG had been previously normal: Diagnosis Sinus bradycardia, 55/min. Right bundle branch block …
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Case 113: A 75-Year-Old Man with Recent Change to ECG History Diagnosis ECG 2 History A 75-year-old man, followed in the cardiac clinic. He had triple aorto-coronary bypass surgery 15 year ago. He has remained stable and symptom-free during moderate exercise. His family doctor has referred him because his ECG has recently changed. He has …
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Case 118: A 76-Year-Old Man with Abnormal ECG History Diagnosis History The ECG of this 76-year-old hypertensive man is recorded at the office of his family MD during his yearly assessment: Diagnosis Sinus rhythm Left anterior fascicular block Left ventricular hypertrophy with repolarization abnormality This patient had a longstanding history of hypertension, difficult to control, …
