Case 83: A 36-Year-Old Man in the Cardiac Clinic History Diagnosis History This 36-year-old man with chronic renal failure treated with hemodialysis is followed in the cardiac clinic because of a bicuspid aortic valve with stenosis and regurgitation. One year ago, he was treated for a pulmonary embolism: Diagnosis Sinus rhythm, 78/min. Biatrial enlargement Left …
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Case 89: A 48-Year-Old Woman with Trisomy 21 History Diagnosis History This 48-year-old woman with Trisomy 21 has a known large ventricular septal defect and EIsenmenger syndrome. She is on continuous oxygen therapy and is very limited by dyspnea and fatigue on mild exertion: Diagnosis Sinus rhythm with one premature ventricular complex First degree AV …
Case 92: A 69-Year-Old Man in the CCU History Diagnosis History A 69-year-old man is in the CCU because of a myocardial infarction, that was treated successfully with angioplasty: Diagnosis Sinus tachycardia Left axis deviation – Left anterior fascicular block Nonspecific intraventricular block Acute septal infarction ECG ID: E457
Case 100: An 89-Year-Old Man in the Geriatrics Clinic History Diagnosis History An 89-year-old man is followed in the geriatrics clinic because of dementia. He lives in a nursing home, and is able to walk regularly without discomfort. He has no known cardiac problems, and no history of syncope: Diagnosis Sinus rhythm with Mobitz II …
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Case 109: A 78-Year-Old Man in the Cardiac Clinic History Diagnosis History This 78-year-old man who had aorto-coronary bypass surgery ten years ago is in the cardiac clinic for a routine follow-up. He is stable and free of dyspnea or chest pain during moderate exertion. He denies any dizziness or syncope: Diagnosis Sinus rhythm with …
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Case 118: An 82-Year-Old Man with a Recent Stroke History Diagnosis History This 82-year-old man with a history of diabetes and hypertension was admitted to hospital with a severe stroke.He has developed fever and evidence of aspiration pneumonia, and the following ECG was recorded: Diagnosis Multifocal atrial tachycardia (rate 130/min) Left anterior fascicular block Left …
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Case 149: A 74-Year-Old Man Scheduled for Cardiac Surgery History Diagnosis ECG 2 ECG 2 Diagnosis ECG Comparison History This 74-year-old man with a history of coronary artery disease is scheduled to undergo aorto-coronary bypass surgery: Diagnosis Sinus rhythm, 58/min Left anterior fascicular block ECG 2 Two days after successful and uncomplicated aorto-coronary bypass surgery, …
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Case 15: A 32-Year-Old Man with Sickle Cell Disease History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with sickle cell disease is seen in the hematology outpatient clinic. He has suffered from numerous episodes of sickle cell crisis. He has chronic renal insufficiency. His condition has been …
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Case 25: A 62-Year-Old Man with Episodes of Presyncope History Diagnosis ECG 2 ECG 2 Diagnosis History This 62-year-old hypertensive diabetic man is referred to the cardiac clinic because of frequent episodes of near-syncope during the past week. He had aorto-coronary bypass surgery 9 years earlier and had been stable and free of chest pain …
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Case 31: A 46-Year-Old Woman with Cyanosis and Clubbing History Diagnosis History A 46-year-old woman known to have cyanotic congenital heart disease, is severely disabled: Diagnosis Sinus Rhythm First degree AV block Right atrial enlargement Incomplete right bundle branch block (iRBBB) Left anterior fascicular block Possible right ventricular hypertrophy Voltage criteria for left ventricular hypertrophy …
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