Case 97: A 73-Year-Old Woman with a Prosthetic Mitral Valve History Diagnosis History This 73-year-old woman presents to clinic postoperative day two from the replacement of her mitral valve due to severe mitral regurgitation: Diagnosis Sinus rhythm with Mobitz I second degree AV Block Low voltage QRS Poor R wave progression from V1 to V3 …
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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 140: A 60-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis History This 60-year-old man presents to the Emergency Department following an episode of syncope at home, lasting less than one minute. He reports having suffered from a myocardial infarction four years prior, from which he had made a good recovery and …
Case 147: A 56-Year-Old Man in the CCU History Diagnosis History This 56-year-old man developed an arrhythmia one hour after his admission to the coronary care unit: Diagnosis Sinus rhythm with second degree AV block Mobitz I (4:3) Acute inferior myocardial infarction ECG ID: E230
Case 158: A 50-Year-Old Man with Severe Chest Pain History Diagnosis History This 50-year-old man presents to the Emergency Department with severe central anterior chest pain for the past hour: Diagnosis Sinus rhythm with Mobitz I second degree AV block Acute inferior infarction The taller T wave in V2 in a patient with an inferior …
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Case 162: A 76 Year-Old Woman after Recent Abdominal Surgery History Diagnosis History A 76 year old woman is seen on the general surgery floor after recent abdominal surgery because of an abnormal ECG as pictured below. The patient is asymptomatic. Diagnosis Sinus rhythm with both Mobitz I Second Degree AV Block and 2:1 AV …
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Case 70: A 67-Year-Old Man with Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 67-year-old man who suffered from a myocardial infarction 3 year ago has been admitted for treatment of congestive heart failure: Diagnosis Probably sinus tachycardia with first degree AV block (PR = 400 msec.) Anterior infarction Comment: The P …
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Case 74: A 21-Year-Old Man with Palpitation History Diagnosis History This 23-year-old man has complained of palpitation since his early teens. His exercise tolerance is normal. He has been followed in the cardiac clinic: Diagnosis Sinus rhythm with Mobitz I second degree AV block and junctional escape complexes ST elevation compatible with early repolarization Comment: Congenital second …
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 111: A 63-Year-Old Man with Prosthetic Aortic Valve History Diagnosis ECG 2 ECG 2 Diagnosis History A 63-year-old man, is presenting 6 months after replacement of aortic valve because of severe symptomatic aortic stenosis. After surgery he did well and was asymptomatic until one week ago, when he started complaining of tiredness, weakness, and …
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