Case 150: A 76 Year-Old Woman Seen in the Structural Heart Clinic History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History A 76yr woman with severe symptomatic aortic stenosis is seen in the structural heart clinic. Her baseline ECG is shown below: Diagnosis Sinus rhythm, 65/min …
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Case 18: An 82-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 82-year-old woman is in the cardiac ICU after replacement of her aortic valve due to severe aortic stenosis: Diagnosis Sinus rhythm with complete heart block Escape rhythm has wide QRS with ventricular rate 66/min (likely junctional rhythm …
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Case 20: A 58-Year-Old Man in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 58-year-old man had a myocardial infarction 2 years ago. He has made a good recovery; he is active and symptom-free. Today, he presents to the cardiac clinic for reassessment: Diagnosis Sinus rhythm, 69/mim Left bundle branch block (LBBB) …
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Case 41: A 62-Year-Old Man with Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 62-year-old man with a five year history of nonischemic cardiomyopathy is in stable but advanced heart failure (NYHA class III) despite optimal medical therapy. His left ventricular ejection fraction is 18%: Diagnosis Sinus rhythm, 70/min Left bundle branch block …
Case 42: A 68-Year-Old Woman in Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 68-year-old woman with non-ischemic cardiomyopathy is in hospital with severe congestive heart failure, despite optimal drug therapy: Diagnosis Sinus rhythm, 70/min Left bundle branch block QRS duration 160 msec ECG 2 Echocardiography demonstrated a severely impaired ejection …
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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 …
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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 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 82: A 52-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 52-year-old man presents to the Emergency Department with severe palpitations, dyspnea, and presyncope for the past hour. He reports a thirty year history of episodic palpitations occurring once or twice annually and subsiding spontaneously. Otherwise, he is healthy and …
Case 103: A 78-Year-Old Woman in the Endocrinology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 78-year-old woman with a longstanding history of poorly controlled hypertension, type 2 diabetes, and left ventricular dysfunction, presents to the endocrinology clinic for follow-up, and a routine ECG is obtained: Diagnosis Sinus tachycardia, 105/min with occasional premature …
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