Case 79: A 84-Year-Old Woman in the Medical ICU History Diagnosis History A 84-year-old woman with a long history of chronic obstructive pulmonary disease and asthma is admitted to the ICU with pneumonia: Diagnosis Multifocal atrial tachycardia (MAT), 138/min Left axis deviation Non-specific ST and T wave abnormality The computer program misdiagnosed the arrhythmia as …
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Case 97: A 69-Year-Old Woman Admitted with Fever and Dyspnea History Diagnosis History A 69 year old woman, a heavy smoker with chronic bronchitis and emphysema, is admitted with fever and severe dyspnea: Diagnosis Multifocal atrial tachycardia, 143/min Non-specific ST and T abnormality ECG ID: E274
Case 77: An 81-Year-Old Woman with Severe Dyspnea History Diagnosis History This 81-year-old woman with chronic obstructive lung disease presents to the Emergency Department with increasing dyspnea and wheezing: Diagnosis Multifocal atrial tachycardia 160/min Occasional aberrantly conducted QRS complexes This tracing illustrates the classical features of Multifocal Atrial Tachycardia (MAT), where the P waves originate …
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Case 101: A 68-Year-Old Man in the Medical ICU History Diagnosis History This 68-year-old man with severe obstructive lung disease and pulmonary hypertension is admitted to the medical intensive care unit with extensive pneumonia: Diagnosis Multifocal atrial tachycardia, rate 140/min, with occasional aberrantly conducted QRS complexes (right bundle branch block pattern) Right ventricular hypertrophy The …
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 135: An 80-Year-Old Woman with Pneumonia History Diagnosis History This 80-year-old woman with chronic obstructive lung disease has been admitted to the medical ICU with pneumonia: Diagnosis Multifocal Atrial Tachycardia (MAT) Left axis deviation Non-specific ST and T abnormality Besides the presence of P waves with a different morphology, an important characteristic feature of …
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 80: A 74-Year-Old Woman on the Respirology Ward History Diagnosis History A 74-year-old woman with a long history of obstructive lung disease and asthma is on the respirology ward with severe bronchopneumonia: Diagnosis Multifocal atrial tachycardia (153/min) Frequent aberrantly conducted complexes (Ashman phenomenon) Non-specific ST and T abnormality Comment: There is a very rapid (153/min), …
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