Case 7: A 57-Year-Old Woman with Dyspnea History Diagnosis History This 57-year-old woman had rheumatic fever at age 17. During the past year, her exercise tolerance has severely decreased due to fatigue and dyspnea: Diagnosis Sinus rhythm, 70/min Left atrial enlargement Right axis deviation Right ventricular hypertrophy The patient had been known to have mitral …
Case 58: A 61-Year-Old Woman 2 Days after Cardiac Surgery History Diagnosis History A 61-year-old woman two days after cardiac surgery: Diagnosis Sinus rhythm, rate 92/min Left atrial enlargement Right ventricular hypertrophy This lady had severe mitral stenosis. She underwent mitral commissurotomy. ECG ID: E102
Case 28:A 50-Year Old Woman in the Medical ICU History Diagnosis History A 50-year-old woman suffered from bilateral bronchiectasis and chronic pseudomonas lung infection for many years. Her condition has recently deteriorated and she is in the medical ICU in severe respiratory failure: Diagnosis Sinus tachycardia, 106/min Left atrial enlargement Right axis deviation Comment: Prominent negative P …
Case 39: A 39-Year-Old Man with Progressive Exertional Dyspnea History Diagnosis History A 39-year-old man with past history of recurrent deep vein thrombosis is presenting with dyspnea on exertion that has been progressive during the last 3 weeks: Diagnosis Sinus rhythm, 95/min Possible left atrial enlargement Right axis deviation S1Q3 pattern Incomplete right bundle branch …
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Case 70: A 41-Year-Old Man with Valvular Heart Disease History Diagnosis History A 41-year-old man is admitted with pneumonia and congestive heart failure. On examination evidence of valvular heart disease is discovered: Diagnosis Sinus rhythm Left atrial enlargement Right ventricular hypertrophy ST and T wave abnormality, consider anterolateral ischemia On admission the patient had evidence …
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Case 71: A 60-Year-Old Woman with Scleroderma History Diagnosis History A 60-year-old woman with a 10 year history of scleroderma is presenting to the Clinic: Diagnosis Sinus rhythm Left atrial enlargement Right axis deviation Right ventricular hypertrophy Non-specific ST and T abnormality The patient had scleroderma with severe pulmonary hypertension (pulmonary artery pressure 105 mmHg) …
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 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 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 …
Case 125: A 70-Year-Old Woman with a Heart Murmur History Diagnosis History A 70-year-old woman with known heart murmur for over 10 years, is lately complaining of central anterior chest pain and dyspnea on exertion: Diagnosis Sinus rhythm Left atrial enlargement Left ventricular hypertrophy with repolarization abnormality This lady was proven to have severe calcific …
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