Case 18: A 58-Year-Old Man in the Emergency Department History Diagnosis History While in the emergency department for a laceration secondary to a motor vehicle accident, this 58-year-old man is noted to have an arrhythmia: Diagnosis Sinus rhythm Mobitz I second degree AV block Atrial rate 90/min, ventricular rate 60/min Every third P wave is not …
Case 18: A 58-Year-Old Man in the Emergency Department Read More »
Case 59: A 78-Year-Old Man Referred for Abnormal ECG History Diagnosis History A 78-year-old man with no cardiac symptoms is referred by his family physician because of an abnormal ECG: Diagnosis Sinus rhythm Mobitz I second degree AV block Ventricular rate 57/min In Mobitz I (type I) AV block the site of the block is …
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Case 14: A 66-Year-Old Man in the Cardiac ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 66-year-old stable man in satisfactory condition is admitted to the cardiac ICU after successful aorto-coronary bypass surgery: Diagnosis Sinus rhythm, 93/min with marked first degree AV block (PR = 800 msec) One premature ventricular complex ST-T abnormality, …
Case 92: A 60-Year-Old Woman with Dyspnea and Tiredness History Diagnosis History A 60-year-old woman is referred to the cardiac clinic because of dyspnea on exertion and tiredness that has been progressing during the past year. She has recently noticed palpitation, that she describes as the sensation of her heart beating irregularly: Diagnosis Sinus rhythm …
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Case 110: A 69-Year-Old Man with Sarcoidosis History Diagnosis History A 69-year-old man, treated for systemic sarcoidosis for the past 2 years, is admitted for treatment of an arrhythmia: Diagnosis Sinus rhythm with Mobitz I second degree AV block Ventricular rate 48/min This patient had been known to have second degree AV block for several months …
Case 128: A 54-Year-Old Man in the Coronary Care Uni History Diagnosis History A 54-year-old man is admitted to the coronary unit with severe retrosternal pain of 3 hours duration: Diagnosis Sinus rhythm with Mobitz I second degree AV block Acute inferior myocardial infarction Acute anterior myocardial infarction ECG ID: E194
Case 13: A 76-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis History You are notified about an abnormal ECG in a 76-year-old man admitted to the acute care unit with infective endocarditis of his prosthetic aortic valve: Diagnosis Sinus rhythm with Mobitz I second degree AV block – Ventricular rate 82/min Right bundle …
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Case 14: A 67-Year-Old in the Cardiac Clinic History Diagnosis History A 67-year-old man presents to the cardiac clinic for a routine follow-up. He suffered from an acute myocardial infarction 3 months ago, but he reports a satisfactory recovery, free from chest pain or dyspnea during moderate exercise: Diagnosis Sinus rhythm with Mobitz I second degree …
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 28: A 43-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 43-year-old woman is referred to the Emergency Department by her family doctor because of an abnormal ECG recorded during a routine assessment. She endorses rare episodes of paroxysmal rapid palpitation during the past 2-3 years, lasting 15-20 …
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