Case 127: A 79-Year-Old Man after Aortic Valve Replacement History Diagnosis History A 79-year-old man had replacement of his aortic valve with a bio-prosthesis because of severe calcific aortic stenosis. This ECG tracing is recorded at the end of the operation: Diagnosis Sinus rhythm, with Mobitz II second degree AV block Right bundle branch block (RBBB) …
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Case 33: A 60-Year-Old Woman who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 60-year-old woman is sent to the Emergency Dept. by her family physician, who had seen her after an episode of sudden-onset syncope, lasting several minutes. She reports a one month history of brief episodes …
Case 39: A 66-Year-Old Man in the CICU History Diagnosis History A 66-year-old man is in the cardiac ICU one day after a triple aorto-coronary bypass surgery: Diagnosis Sinus rhythm with Mobitz II second degree AV block and one junctional escape complex The long P-P interval is close to 3x the basic P-P interval Ventricular rate …
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 115: A 71-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis History This 71-year-old man with a known history of coronary artery disease and a previous myocardial infarction is seen in the emergency department following an episode of syncope at home. He collapsed and hit the back of his head. He reports …
Case 121: A 65-Year-Old Man in the Pacemaker Clinic History Diagnosis History This 65-year-old man presents to the pacemaker clinic for routine follow-up: Diagnosis Sinus rhythm with second degree AV block Mobitz II Escape paced QRS complexes (VVI pacemaker) Left axis deviation, Right bundle branch block This 65 year old patient has had diabetes for …
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Case 123: An 85-Year-Old Woman in the Pacemaker Clinic History Diagnosis History This 85-year-old woman had a ventricular pacemaker implanted 3 years ago after she developed third degree AV block during a stress test originally ordered due to dyspnea. She had no chest pain. The echocardiogram showed normal left ventricular function and mild mitral regurgitation. …
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Case 66: An 81-Year-Old Man who Fainted History Diagnosis History This 81-year-old man had a myocardial infarction at age 75. He had angioplasty and stenting of his LAD and circumflex arteries and has been stable with infrequent angina since. He is seen in the cardiac clinic because of an episode of syncope that lasted a …
Case 75: A 61-Year-Old Man with Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 61-year-old man with multiple serious medical problems is referred to the Emergency Department by his family physician. He has had a fever for one week and his blood cultures are positive for streptococcus viridans. …
Case 96: An 81-Year-Old Man in the Intensive Care Unit History Diagnosis History An 81-year-old is man admitted to the ICU with staphylococcus endocarditis of his bioprosthetic aortic valve, with large valvular vegetations and cerebral septic emboli: Diagnosis Sinus rhythm with Mobitz II second degree AV block (3:2) – Ventricular rate 74/min Intermittent right bundle …
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