Case 127: A 79-Year-Old Man after Aortic Valve Replacement History Diagnosis History A 79-year-old man had replacement of his aortic valve with a bio-prosthesis because of severe calcific aortic stenosis. This ECG tracing is recorded at the end of the operation: Diagnosis Sinus rhythm, with Mobitz II second degree AV block Right bundle branch block (RBBB) …
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Case 129: A 73-Year-Old Woman in Cardiology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old woman suffered from a myocardial infarct 6 years ago, but recovered and is free of angina. Routine ECG recorded in the cardiac clinic is as follow: Diagnosis Sinus bradycardia, 50/min Left anterior fascicular block (LAFB) and Right bundle branch …
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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 15: A 63-Year-Old Woman in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 73-year-old woman has been referred by her family physician because of angina during moderate exertion. She has been known to have a congenital cardiac abnormality: Diagnosis The computer’s diagnostic program suggests “arm lead reversal”, however, dextrocardia is the …
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Case 19: A 45-Year-Old Man in the Cardiac Ward History Diagnosis ECG 2 ECG 2 Diagnosis History This 45-year-old man was diagnosed two years ago with dilated cardiomyopathy of unknown etiology. He was symptom-free until three weeks ago when he started complaining of frequent palpitations associated with weakness and occasional near-syncope. He has been admitted …
Case 22: A 61-Year-Old Man in the Nephrology Clinic History Diagnosis History This 61-year-old hypertensive man is followed in the nephrology clinic because of severe progressive renal failure: Diagnosis Sinus tachycardia, 104/min Left anterior fascicular block Intermittent (2:1) right bundle branch block (RBBB) Notice that in leads I, II and III the first 80 msec. …
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Case 33: A 60-Year-Old Woman who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 60-year-old woman is sent to the Emergency Dept. by her family physician, who had seen her after an episode of sudden-onset syncope, lasting several minutes. She reports a one month history of brief episodes …
Case 37: An 85-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History An 85-year-old man presents to the Emergency Department because of severe urinary retention secondary to prostatic carcinoma. The patient had an aorto-coronary bypass surgery 10 years earlier. He was diagnosed with Alzheimer’s disease …
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Case 65: A 71-Year-Old Man with Episodic Syncope History Diagnosis Telemetry Telemetry Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 71-year-old man endorses a six month history of episodic weakness and pre-syncope. In the past month, he reports losing consciousness on several occasions, with episodes lasting 10-30 seconds. He presents …
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Case 67: A 65-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 65-year-old man presents to the Emergency Department with severe anterior chest pain lasting one hour. He reports having experienced infrequent mild stable angina over the past two years: Diagnosis Sinus rhythm, 60/min Left …
