Case 100: A 77-Year-Old Man with Palpitation History Diagnosis History A 77-year-old man had aorto-coronary bypass surgery 5 years ago with good results. He is seen in the emergency department complaining of palpitation: Diagnosis Atrial fibrillation with one premature ventricular complex Left axis deviation Anteroseptal infaction, age undetermined ECG ID: E265
Case 1: A 53-Year-Old Man with Shortness of Breath History Diagnosis History A 53-year-old man with a history of ischemic cardiomyopathy and an implanted defibrillator presents to the ICD clinic for routine follow-up. He complains of increased shortness of breath over the last few weeks: Diagnosis Atrial tachycardia with 2:1 AV conduction Non-specific intraventricular conduction block* …
Case 1: A 53-Year-Old Man with Shortness of Breath Read More »
Case 34: A 38-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 38-year-old man with diabetes presents to the Emergency Department with severe chest pain: Diagnosis Sinus rhythm, 61/min Acute inferior-posterior myocardial infarction ECG 2 The patient receives therapy with IV fibrinolytics and is transferred to the CCU. This …
Case 34: A 38-Year-Old Man in the Emergency Department Read More »
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 …
Case 37: An 85-Year-Old Man in the Emergency Department Read More »
Case 44: A 73-Year-Old Man Presenting for Follow-Up History Diagnosis ECG 2 ECG 2 Diagnosis Diagram History This 73-year-old man with known dilated cardiomyopathy is in the cardiac clinic for a routine reassessment: Diagnosis Suspect lead placement error: left arm-right leg lead reversal Sinus rhythm 60/min, with one premature atrial complex Possible non-specific intraventricular block …
Case 44: A 73-Year-Old Man Presenting for Follow-Up Read More »
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, …
Case 51: A 73-Year-Old Man with Ischemic Cardiomyopathy Read More »
Case 64: A 58-Year-Old Man with Severe Weakness History Diagnosis ECG 2 ECG 2 Diagnosis History This 58-year-old hypertensive man with known dilated cardiomyopathy and severe left ventricular dysfunction presents to the emergency department with a two day history of weakness. His medications include digoxin, furosemide, spironolactone, and KCl 20 mEq bid: Diagnosis No …
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 …
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 …
Case 100: An 89-Year-Old Man in the Geriatrics Clinic Read More »
