Left Axis Deviation

Case 33: A 50-Year-Old Man with Ischemic Cardiomyopathy

Practice Level 5

Case 33: A 50-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History This 50-year-old man with ischemic cardiomyopathy is seen in the anaesthesia clinic in preparation for cardiac surgery: Diagnosis Suspect lead placement error (Left Arm-Left Leg Lead Reversal) in patient with left bundle branch block Comments: The interpretation of the computerized …

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Case 38: A 75-Year-Old Man in the Emergency Department

Practice Level 5

Case 38: A 75-Year-Old Man in the Emergency Department History Diagnosis History A 75-year-old man with a longstanding history of coronary artery diseases is in the emergency department complaining of weakness, dyspnea and occasional faintness during the past 2 days:  Diagnosis Very slow ectopic atrial rhythm (atrial rate 21/min)  with junctional escape complexes (escape-capture bigeminy) …

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Case 53: A 57-Year-Old Woman in the Emergency Room

Practice Level 5

Case 53: A 57-Year-Old Woman in the Emergency Room History Diagnosis History This 57-year-old diabetic hypertensive woman, with end-stage renal failure on hemodialysis, is seen in the Emergency Department with fever (38.6 C), nausea, weakness and diarrhea. Her medication includes Atenolol 100 mg daily: Diagnosis Marked sinus bradycardia (30/min) with junctional escape complexes (escape-capture bigeminy). …

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