Case 6: A 78-Year-Old Woman with a Heart Murmur History Diagnosis History This 78-year-old woman has been known to have a heart murmur for the past 8 years: Diagnosis Sinus rhythm with sinus arrhythmia – Rate 75/min 1st degree AV block (PR=230 msec) Left ventricular hypertrophy with repolarization abnormalities On review of a previous …
Case 6: A 70-Year-Old Woman with Hypertension History Diagnosis History This 70-year-old woman with history of poorly treated hypertension presents to her family doctor, complaining of palpitations: Diagnosis Sinus rhythm with premature ventricular complexes in a pattern of bigeminy. Ventricular rate 92/min Left ventricular hypertrophy with repolarization abnormality ECG ID: E653
Case 14: A 58-Year-Old Man with Dilated Cardiomyopathy History Diagnosis History A 58-year-old man is followed in the heart failure clinic for a 3 year history of symptomatic dilated cardiomyopathy: Diagnosis Sinus rhythm, 90/min. Biatrial enlargement Left ventricular hypertrophy with repolarization abnormality A recent echocardiogram demonstrated dilated left ventricle and left atrium and moderate mitral …
Case 14: A 58-Year-Old Man with Dilated Cardiomyopathy Read More »
Case 21: A 58-Year-Old Hypertensive Man in the Emergency Department History Diagnosis History A 58-year-old hypertensive man is in the Emergency Department, complaining of palpitation and dyspnea: Diagnosis Atrial flutter with variable AV conduction, Ventricular rate 100/min Minor voltage criteria for left ventricular hypertrophy (S in V1 + R in V5 = 37 mm) ECG …
Case 21: A 58-Year-Old Hypertensive Man in the Emergency Department Read More »
Case 38: A 74-Year-Old Woman with Shortness of Breath History Diagnosis History A 74-year-old woman is presenting to her family physician’s office with complaints of shortness of breath on climbing stairs in her home. Diagnosis Atrial fibrillation with rapid ventricular response (102/min) Left ventricular hypertrophy (LVH) with QRS widening and repolarization abnormality This patient had …
Case 38: A 74-Year-Old Woman with Shortness of Breath Read More »
Case 44: A 75-Year-Old Woman Complaining of Tiredness History Diagnosis History A 75-year-old woman, with a 20 year history of hypertension and angina is presenting with complaints of tiredness and easy fatigue: Diagnosis Coarse atrial fibrillation with slow ventricular response (40/min) Left ventricular hypertrophy Marked ST and T abnormality, consider anterolateral ischemia The recent onset …
Case 44: A 75-Year-Old Woman Complaining of Tiredness Read More »
Case 53: A 73-Year-Old Woman with a Prosthetic Cardiac Valve History Diagnosis History A 73-year-old woman had replacement of a cardiac valve 3 years ago, with very satisfactory results: Diagnosis Sinus rhythm Left ventricular hypertrophy with repolarization abnormality This lady had aortic valve replacement because of severe symptomatic aortic stenosis. There was marked improvement after …
Case 53: A 73-Year-Old Woman with a Prosthetic Cardiac Valve Read More »
Case 55: A 84-Year-Old Woman Complaining of Palpitation History Diagnosis History A 84-year-old woman, independent and fairly active for her age and on medication for moderate systolic hypertension is presenting to her family physician’s office with recent complaints of palpitation, that she describes as “thumps” in her chest: Diagnosis Sinus rhythm with premature atrial complexes …
Case 7: A 75-Year-Old Man in the Emergency Department History Diagnosis History This ECG of a 75-year-old man has been recorded in the Emergency Department. No clinical information has been supplied and no previous ECGs are available for comparison: Diagnosis Sinus rhythm, 85/min with frequent premature ventricular complexes in a pattern of bigeminy Left ventricular hypertrophy …
Case 7: A 75-Year-Old Man in the Emergency Department Read More »
Case 29: A 58-Year-Old Man in the Diabetic Clinic History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Slide History A 58-year-old man with no cardiac complaints is seen for a reassessment in the diabetes clinic: Diagnosis Lead placement error: Right Arm – Right Leg Reversal (this preclude the assessment of the limb leads) In the chest …
Case 29: A 58-Year-Old Man in the Diabetic Clinic Read More »
