Case 46: A 64-Year-Old Woman with Valvular Heart Disease History Diagnosis History A 65-year-old woman is presenting with symptomatic mitral and tricuspid insufficiency: Diagnosis Sinus tachycardia, 106/min Biatrial enlargement Left ventricular hypertrophy with repolarization abnormality ECG ID: E497
Case 98: A 89-Year-Old Woman in the Emergency Department History Diagnosis History A 89-year-old woman is referred to the Emergency Department from a nursing home, complaining of feeling lightheaded and weak and is treated for hypertension: Diagnosis Marked sinus bradycardia with marked sinus arrhythmia Left axis deviation Left ventricular hypertrophy ECG ID: E268
Case 101: A 78-Year-Old Woman 5 days after Bypass Surgery History Diagnosis History A 78-year-old woman suffered from a myocardial infarction while being treated in hospital for hip fracture. Coronary angiography showed three-vessel coronary artery disease. She underwent bypass surgery. Five days after the operation she is complaining of palpitation and dyspnea: Diagnosis Atrial flutter …
Case 101: A 78-Year-Old Woman 5 days after Bypass Surgery Read More »
Case 105: A 72-Year-Old Man complaining of Weakness History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 72-year-old hypertensive diabetic man is brought to the Emergency Department because of nausea, malaise and increasing weakness for the past 3 days. He had very little fluid intake, despite very hot humid weather. He …
Case 105: A 72-Year-Old Man complaining of Weakness Read More »
Case 106: A 54-Year-Old Diabetic Man with Dyspnea on Exertion History Diagnosis History A 54-year-old diabetic man is in his family doctor’s office. One month ago he started complaining of dyspnea and weakness on walking quickly to a bus-stop two short blocks from his home. Previously he did regular moderate exercise without symptoms: Diagnosis Sinus …
Case 106: A 54-Year-Old Diabetic Man with Dyspnea on Exertion Read More »
Case 118: A 76-Year-Old Man with Abnormal ECG History Diagnosis History The ECG of this 76-year-old hypertensive man is recorded at the office of his family MD during his yearly assessment: Diagnosis Sinus rhythm Left anterior fascicular block Left ventricular hypertrophy with repolarization abnormality This patient had a longstanding history of hypertension, difficult to control, …
Case 125: A 70-Year-Old Woman with a Heart Murmur History Diagnosis History A 70-year-old woman with known heart murmur for over 10 years, is lately complaining of central anterior chest pain and dyspnea on exertion: Diagnosis Sinus rhythm Left atrial enlargement Left ventricular hypertrophy with repolarization abnormality This lady was proven to have severe calcific …
Case 125: A 70-Year-Old Woman with a Heart Murmur Read More »
Case 127: A 79-Year-Old Man after Aortic Valve Replacement History Diagnosis History A 79-year-old man had replacement of his aortic valve with a bio-prosthesis because of severe calcific aortic stenosis. This ECG tracing is recorded at the end of the operation: Diagnosis Sinus rhythm, with Mobitz II second degree AV block Right bundle branch block (RBBB) …
Case 127: A 79-Year-Old Man after Aortic Valve Replacement Read More »
Case 138: A 60-Year-Old Woman with Renal Artery Stenosis History Diagnosis History A 60-year-old woman who has been treated for hypertension due to renal artery stenosis, is presenting with recent onset of angina on exertion: Diagnosis Sinus rhythm Left atrial enlargement Left ventricular hypertrophy T wave abnormality, consider lateral ischemia In the typical “strain pattern” …
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Case 143: A 43-Year-Old Man in the Renal Dialysis Unit History Diagnosis History This 43-year-old man is treated in the dialysis unit for chronic renal failure: Diagnosis Sinus rhythm with first degree AV block Left atrial enlargement Left ventricular hypertrophy with repolarization abnormality Prolonged QT (QT/QTC = 444/506 msec) ECG ID: E189
