Case 4: A 44-Year-Old Man in the Cardiac Clinic History Diagnosis History This 46-year-old man is discovered to have a cardiomyopathy 3 years ago when he applied for life insurance. He remains moderately active and cycles frequently without discomfort: Diagnosis Marked sinus bradycardia, 41/min Left ventricular hypertrophy with QRS widening and repolarizarion abnormality Marked ST …
Case 7: A 75-Year-Old Man in the CCU History Diagnosis History This 75-year-old man is brought to the hospital by ambulance and admitted to the CCU 45 minutes after the onset of severe anterior chest pain, weakness and dyspnea: Diagnosis Sinus tachycardia, 106/min Left ventricular hypertrophy ST elevation in aVR and V1, and marked diffuse …
Case 10: A 58-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History This 58-year-old man with a 10-year history of poorly treated hypertension is brought to the Emergency Department with severe lower retrosternal/epigastric pain for the past hour, as well as weakness and dyspnea: Diagnosis Sinus rhythm, 72/min …
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Case 17: A 66-Year-Old Woman Admitted with a Drug Overdose History Diagnosis ECG 2 ECG 2 Diagnosis History This 66-year-old woman with a history of depression and chronic back pain was brought to the Emergency Department a few hours after having ingested large doses of acetaminophen, oxycodone and citalopram: Diagnosis Sinus rhythm, 82/min Minimal voltage …
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Case 23: A 69-Year-Old Woman in the Cardiac Clinic History Diagnosis History This 69-year-old woman is referred by her family doctor. For several years, she has had episodes of paroxysmal atrial fibrillation. Recently, she complains of severe fatigue and faintness: Diagnosis AV dissociation Marked ectopic atrial bradycardia (P waves with abnormal morphology and axis – …
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Case 25: A 75-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 75-year-old woman presents to the Emergency Department with a two hour history of palpitations, dyspnea, and weakness. She reports no previous cardiac issues: Diagnosis Atrial tachycardia with Mobitz I second degree AV block – atrial rate 172/min, ventricular rate 154/min Minimal …
Case 34: A 38-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 38-year-old man with diabetes presents to the Emergency Department with severe chest pain: Diagnosis Sinus rhythm, 61/min Acute inferior-posterior myocardial infarction ECG 2 The patient receives therapy with IV fibrinolytics and is transferred to the CCU. This …
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Case 49: A 45-Year-Old Man with an Abnormal ECG History Diagnosis History This 45-year-old accountant has been found to have an abnormal ECG during a routine general assessment by his family physician. He is normally active, without cardiac complaints. No previous ECGs are available: Diagnosis Sinus rhythm, 66/min Left ventricular hypertrophy with ST depression and giant …
Case 65: A 71-Year-Old Man with Episodic Syncope History Diagnosis Telemetry Telemetry Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 71-year-old man endorses a six month history of episodic weakness and pre-syncope. In the past month, he reports losing consciousness on several occasions, with episodes lasting 10-30 seconds. He presents …
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Case 81: A 58-Year-Old Man with Paroxysmal Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 58-year-old man presented to the Emergency Department with a two year history of paroxysmal palpitations accompanied by dyspnea and weakness: Diagnosis Atrial flutter with variable AV conduction – ventricular rate 100/min Minimal criteria for left ventricular hypertrophy Typical …
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