Case 83: A 36-Year-Old Man in the Cardiac Clinic History Diagnosis History This 36-year-old man with chronic renal failure treated with hemodialysis is followed in the cardiac clinic because of a bicuspid aortic valve with stenosis and regurgitation. One year ago, he was treated for a pulmonary embolism: Diagnosis Sinus rhythm, 78/min. Biatrial enlargement Left …
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Case 85: A 66-Year-Old Woman in the Cardiac Surgery Unit History Diagnosis History A 66-year-old woman is postoperative day 4 from replacement of her aortic valve due to aortic stenosis: Diagnosis Accelerated junctional rhythm, 82/min Minimal criteria for left ventricular hypertrophy (S in V1 + R in V6 = 36 mm) ECG ID: E474
Case 89: A 48-Year-Old Woman with Trisomy 21 History Diagnosis History This 48-year-old woman with Trisomy 21 has a known large ventricular septal defect and EIsenmenger syndrome. She is on continuous oxygen therapy and is very limited by dyspnea and fatigue on mild exertion: Diagnosis Sinus rhythm with one premature ventricular complex First degree AV …
Case 118: An 82-Year-Old Man with a Recent Stroke History Diagnosis History This 82-year-old man with a history of diabetes and hypertension was admitted to hospital with a severe stroke.He has developed fever and evidence of aspiration pneumonia, and the following ECG was recorded: Diagnosis Multifocal atrial tachycardia (rate 130/min) Left anterior fascicular block Left …
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Case 120: A 63-Year-Old Man in the Cardiac Surgery ICU History Diagnosis History A 63-year-old man is in the cardiac surgery ICU after replacement of a myxomatous mitral valve with ruptured cordae tendineae: Diagnosis Sinus Rhythm with sinus arrhythmia and AV dissociation due to a competing accelerated junctional rhythm 2 capture complexes (the 5th and …
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Case 126: A 62-Year-Old Woman in the Cardiac Surgery ICU History Diagnosis History A 62-year-old woman is in the cardiac surgery ICU, postoperative day one from a mitral valve repair and annuloplasty. She had been known to have severe symptomatic mitral regurgitation due to a prolapsed and flail valve, secondary to myxomatous degeneration. Following surgery, …
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Case 136: A 63-Year-Old Woman with a Prosthetic Aortic Valve History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History Six months ago, this 63-year-old man underwent replacement of his aortic valve for severe calcific aortic stenosis. He did well, and was symptom-free until one week ago when he started experiencing weakness, fatigue …
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Case 145: A 43-Year-Old Man in the Nephrology Clinic History Diagnosis History This 43-year-old man with diabetes, hypertension, and end-stage diabetic nephropathy on dialysis presents to the nephrology clinic for routine follow-up: Diagnosis Sinus rhythm Left atrial enlargement Left ventricular hypertrophy with repolarization abnormality ST elevation in V2 and V3, probably reciprocal to the “strain pattern” of …
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Case 152: A 66-Year-Old Woman with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History This 66-year-old woman with a history of hypertension is brought to the emergency department four hours after the onset of severe retrosternal chest pain, associated with dyspnea, diaphoresis and nausea: Diagnosis Sinus rhythm with successive ectopic ventricular complexes (accelerated idioventricular …
Case 15: A 32-Year-Old Man with Sickle Cell Disease History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with sickle cell disease is seen in the hematology outpatient clinic. He has suffered from numerous episodes of sickle cell crisis. He has chronic renal insufficiency. His condition has been …
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