Case 27: A 70-Year-Old man in the Emergency Department History Diagnosis History A 70-year-old man with a long history of coronary artery disease is in the Emergency Department complaining of dyspnea: Diagnosis Electronic pacemaker Normal sinus rhythm, 60/min DDD pacing (atrial sensed, ventricular paced rhythm) The atrial activation (P) is sensed and is followed by …
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Case 19: A 83-Year-Old Man in the Cardiac Clinic History Diagnosis History A 83-year-old man is in the cardiac clinic: Diagnosis DDD pacing (atrial sensed, ventricular paced rhythm) Underlying sinus tachycardia, 109/min, Comment: The atrial activation (P) is sensed and is followed, after the programmed AV interval, by a ventricular paced output (the “spike”, a …
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Case 20: A 82-Year-Old Woman with Chest Pain History Diagnosis History A 82-year-old woman is admitted to the CCU with chest pain: Diagnosis DDD pacing (atrial paced, ventricular paced rhythm) ECG ID: E624
Case 21: A 50-Year-Old Man in Cardiology Clinic History Diagnosis History A 50-year-old man is in the cardiac clinic: Diagnosis AAI pacing (paced atrial rhythm, 50/min) Prolonged AV conduction (PR interval 220 ms) Anterior infarction, age undetermined T wave abnormality, possible anterolateral ischemia ECG ID: E621
Case 22: A 72-Year-Old Man in the Cardiac Clinic History Diagnosis History A 72-year-old man is in the cardiac clinic: Diagnosis Electronic ventricular pacemaker, rate 53/min Underlying sinus rhythm with complete heart block One premature ventricular complex There are regular sinus P waves (rate 67/min), with complete AV block. There is a single chamber ventricular …
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Case 31: A 77-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 77-year-old man is presenting to the emergency department for episodes of severe weakness and near-syncope during the past 24 hours: Diagnosis Atrial flutter with complete heart block Escape wide QRS rhythm, with right bundle branch block pattern …
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Case 133: A 51-Year-Old Man Referred from the Pre-op Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 51-year-old man was assessed prior to a cholecystectomy and found to have an arrhythmia. During the previous 6 months he had noted fatigue and mild dyspnea on walking hastily: Diagnosis Sinus rhythm with complete heart block …
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Case 148: A 79 Year-Old Woman in Hospital with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 79 year-old woman is admitted to hospital with palpitations. Because of a previous history of atrial fibrillation, she had been started on a combination of flecainide and bisoprolol. She presented to …
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Case 18: An 82-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 82-year-old woman is in the cardiac ICU after replacement of her aortic valve due to severe aortic stenosis: Diagnosis Sinus rhythm with complete heart block Escape rhythm has wide QRS with ventricular rate 66/min (likely junctional rhythm …
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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 …
