Case 112: A 55-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 55-year-old diabetic man with a two year history of mild angina is brought to the Emergency Department three hours after the onset of constrictive central anterior chest pain: Diagnosis Sinus rhythm Incomplete right …
Case 115: A 71-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis History This 71-year-old man with a known history of coronary artery disease and a previous myocardial infarction is seen in the emergency department following an episode of syncope at home. He collapsed and hit the back of his head. He reports …
Case 117: An 88-Year-Old Man with Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 88-year-old man with a history of hypertension and diabetes was admitted to hospital for treatment of congestive heart failure. He had been on sotalol 80 mg po bid for the past year due to previous episodes of …
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Case 121: A 65-Year-Old Man in the Pacemaker Clinic History Diagnosis History This 65-year-old man presents to the pacemaker clinic for routine follow-up: Diagnosis Sinus rhythm with second degree AV block Mobitz II Escape paced QRS complexes (VVI pacemaker) Left axis deviation, Right bundle branch block This 65 year old patient has had diabetes for …
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Case 125: A 75-Year-Old Woman in the Emergency Department History Diagnosis History A 75-year-old woman presents to the emergency department with “dizzy spells”. She reports having stable angina for past two years: Diagnosis Sinus bradycardia with Sino-atrial Exit Block Type II Junctional escape complexes Left axis deviation ST-T abnormality, consider lateral ischemia ECG ID: E316
Case 135: An 80-Year-Old Woman with Pneumonia History Diagnosis History This 80-year-old woman with chronic obstructive lung disease has been admitted to the medical ICU with pneumonia: Diagnosis Multifocal Atrial Tachycardia (MAT) Left axis deviation Non-specific ST and T abnormality Besides the presence of P waves with a different morphology, an important characteristic feature of …
Case 160: A 65-Year-Old Man with a Previous Myocardial Infarction History Diagnosis History This 65-year-old man is seen in the cardiac clinic for a routine follow-up visit. He had a myocardial infarction two years earlier, but has been free of angina with moderate exertion. Lately, he reports feeling more easily fatigued: Diagnosis Atrial flutter with …
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Case 18: A 46-Year-Old Man with Non-Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History A 46-year-old man with a nonischemic dilated cardiomyopathy most likely secondary to a viral myocarditis from which he suffered 8 years earlier whom at the time of his myocarditis had a pacemaker implanted because of second degree AV block …
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Case 19: A 67-Year-Old Man in Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 67-year-old man is admitted because of congestive heart failure due to ischemic cardiomyopathy. Ten years ago he had a myocardial infarction complicated by episodes of ventricular tachycardia, for which he received an ICD (Implantable Cardioverter Defibrillator) implant. …
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Case 26: A 55-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History A 55-year-old man with end-stage renal disease, is in the emergency department complaining of severe weakness. He had been suffering from an upper respiratory infection with fever and …
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