Case 107: A 45-Year-Old Man with Crushing Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History A 45-year-old man is admitted to the CCU with crushing anterior chest pain: Diagnosis Sinus rhythm Left bundle branch block with acute septal myocardial infarction When a q wave is present in lead I in a patient with …
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Case 119: A 51-Year-Old Woman with Palpitations History Diagnosis History This 51 year old woman presents with palpitations, that she describes as a sensation of irregular pounding in her precordium.She has no other cardiac symptoms: Diagnosis Sinus rhythm with frequent premature atrial complexes with aberrant conduction The pattern of aberration varies (iRBBB, RBBB, LBBB). ECG …
Case 128: A 79-Year-Old Woman with Heart Failure History Diagnosis History This 79-year-old woman with heart failure with a reduced ejection fraction is seen in the cardiac clinic for follow-up. She is stable and euvolemic, and denies any presyncope: Diagnosis Sinus rhythm with possible sino-atrial block (Mobitz I) Left bundle branch block The P waves …
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Case 139: A 78-Year-Old Woman with Diabetes History Diagnosis History A 78-year-old woman with a history of diabetes and a three year history of mild stable angina presents for routine follow-up. Complete occlusion of the LAD has previously been demonstrated, with good collateral circulation. She also has moderately severe left ventricular dysfunction, with evidence of …
Case 142: A 57-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis ECG 2 History This 57-year-old man is followed in the cardiac clinic for ischemic cardiomyopathy. He suffered from a myocardial infarction 14 years ago: Diagnosis Sinus rhythm – Left bundle branch block Possible anteroseptal myocardial infarction, age undetermined The presence of q waves in lead …
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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 1: A 65-Year-Old Man with a Previous Bypass Surgery History Diagnosis History A 65-year-old man with a previous history of bypass surgery presents to the family doctor’s office, complaining of new fatigue: Diagnosis Atrial Flutter (AFL) with occasional paced QRS complexes and pseudofusion beats Left bundle branch block ECG ID: E779
Case 5: A 68-Year-Old Man in the Emergency Room History Diagnosis History A 68-year-old man presents to the emergency room with palpitations. He has a previous history of hypertension and syncope with pacemaker implantation 3 years ago: Diagnosis Underlying atrial tachycardia (red arrows) – may be atrial flutter Native complexes conducted with left bundle branch …
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 85: A 75-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis History This 75-year-old woman has undergone replacement of her aortic valve because of severe aortic stenosis. The preoperative ECG has shown left bundle branch block. The following tracing is recorded shortly after transfer from the OR to the cardiac …
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