Left Atrial Enlargement Archives - Page 2 of 2

Case 130: A 51-Year-Old Woman in the Respirology Clinic

Case 130: A 51-Year-Old Woman in the Respirology Clinic History Diagnosis History A 51-year-old woman is followed in the respirology clinic because of severe idiopathic pulmonary fibrosis: Diagnosis Sinus rhythm Possible left atrial enlargement Right atrial enlargement Right axis deviation Right ventricular hypertrophy with repolarization abnormality Idiopathic pulmonary fibrosis had been diagnosed 3 years earlier …

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Case 138: A 60-Year-Old Woman with Renal Artery Stenosis

Practice Level 3

Case 138: A 60-Year-Old Woman with Renal Artery Stenosis History Diagnosis History A 60-year-old woman who has been treated for hypertension due to renal artery stenosis, is presenting with recent onset of angina on exertion: Diagnosis Sinus rhythm Left atrial enlargement Left ventricular hypertrophy T wave abnormality, consider lateral ischemia In the typical “strain pattern” …

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Case 51: A 73-Year-Old Man with Ischemic Cardiomyopathy

Practice Level 4

Case 51: A 73-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis History This 73-year-old man with a long history of coronary artery disease and severe left ventricular dysfunction is in the cardiac clinic for a follow-up assessment: Diagnosis Sinus bradycardia, 53/min Left atrial enlargement Left axis deviation Left bundle branch block When we review this ECG, …

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Case 79: A 65-Year-Old Woman in the Cardiac Clinic

Practice Level 4

Case 79: A 65-Year-Old Woman in the Cardiac Clinic History Diagnosis History This 65-year-old woman with an eight-year history of coronary artery disease presents to the cardiac clinic for her annual assessment. She had an aortocoronary bypass surgery five years ago, and is free of angina. Her echocardiogram shows diffuse LV hypokinesis, with an ejection …

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Case 95: A 44-Year-Old Man with Chest Pain

Practice Level 4

Case 95: A 44-Year-Old Man with Chest Pain History Diagnosis History A 44-year-old man presents to the Emergency Department 4 hours after the onset of retrosternal chest pain: Diagnosis Sinus rhythm, 90/min Left atrial enlargement Left posterior fascicular block Acute septal myocardial infarction ECG ID: E444

Case 145: A 43-Year-Old Man in the Nephrology Clinic

Practice Level 4

Case 145: A 43-Year-Old Man in the Nephrology Clinic History Diagnosis History This 43-year-old man with diabetes, hypertension, and end-stage diabetic nephropathy on dialysis presents to the nephrology clinic for routine follow-up: Diagnosis Sinus rhythm Left atrial enlargement Left ventricular hypertrophy with repolarization abnormality ST elevation in V2 and V3, probably reciprocal to the “strain pattern” of …

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