Case 16: A 58-Year-Old Man in the Pre-Anaesthesia Clinic History Diagnosis ECG 2 ECG 2 Diagnosis Explanation History This 58-year-old man is being assessed by the anesthesia staff prior to prostatic surgery. He has no cardiac complaints. A routine ECG is obtained: Diagnosis In lead III the QRS complex is tiny (“collapsed”) and the P …
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Case 31: A 46-Year-Old Woman with Cyanosis and Clubbing History Diagnosis History A 46-year-old woman known to have cyanotic congenital heart disease, is severely disabled: Diagnosis Sinus Rhythm First degree AV block Right atrial enlargement Incomplete right bundle branch block (iRBBB) Left anterior fascicular block Possible right ventricular hypertrophy Voltage criteria for left ventricular hypertrophy …
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Case 37: An 82-Year-Old Woman with Weakness and Dyspnea History Diagnosis ECG 2 ECG 2 Diagnosis History An 82-year-old woman is brought to the Emergency Dept. from a nursing home because of weakness and dyspnea on mild exertion. She is been on a beta-blocker for moderate hypertension: Diagnosis Atrial tachycardia with 2:1 AV conduction; ventricular …
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Case 53: A 57-Year-Old Woman in the Emergency Room History Diagnosis History This 57-year-old diabetic hypertensive woman, with end-stage renal failure on hemodialysis, is seen in the Emergency Department with fever (38.6 C), nausea, weakness and diarrhea. Her medication includes Atenolol 100 mg daily: Diagnosis Marked sinus bradycardia (30/min) with junctional escape complexes (escape-capture bigeminy). …
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Case 58: A 42-Year-Old Man Who Applied for Life Insurance History Diagnosis History This 42-year-old accountant was referred because of ECG abnormalities discovered during a routine life-insurance assessment. He was asymptomatic and exercised regularly without discomfort. His blood pressure was normal. There was a very soft mid-systolic murmur at the left lower sternal border: Diagnosis …
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Case 63: A 61-Year-Old Woman with Severe Heart Failure History Diagnosis History This 61-year-old woman with known Adriamycin-induced cardiomyopathy as a result of treatment for lymphoma is in the ICU with severe heart failure that has required prolonged ventilation: Diagnosis Multifocal atrial tachycardia, rate 140/min One premature ventricular complex Left ventricular hypertrophy with QRS widening …
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Case 82: An 80 Year-Old Man in the EP Clinic History Diagnosis History This 80-year-old man was in very good health until 8 years ago, when he had episodes of near-syncope and documented ventricular tachycardia, that did not require cardioversion. He was hospitalized and no evidence of structural heart disease was found. He was placed …
Case 93: An 83-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 83-year-old woman has been brought to the emergency department 1 1/2 hours after onset of rapid palpitation associated with dyspnea and weakness. She had experienced 2 similar episodes during the past year, which were treated in another hospital: Diagnosis Atrial …
Case 97: A 68-Year-Old Woman in the ER History Diagnosis History A 68-year-old woman is referred by her family doctor to the emergency department for recent episodes of severe weakness and lightheadedness: Diagnosis Sinus rhythm with second degree AV block and junctional escape complexes. ventricular rate 38/min Minimal criteria for left ventricular hypertrophy (R in V5 …
Case 99: A 78-Year-Old Man with a Subdural Hematoma History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old man had an episode of loss of consciousness at home during which he suffered from a subdural hematoma. This ECG is recorded in the Emergency Department: Diagnosis Sinus rhythm, 75/min, with Mobitz II second degree AV block …
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