Case 38: A 42-Year-Old Man with Fatigue and Weakness History Diagnosis ECG 2 ECG 2 Diagnosis History A 42-year-old man presents to the Emergency Department with severe weakness and presyncope. He reports that four months ago, he started to notice fatigue on mild exertion. Previous ECG and Holter monitoring had shown sinus bradycardia at rest, limited …
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Case 40: A 50-Year-Old Man in the Cardiac Surgical Ward History Diagnosis ECG 2 ECG 2 Diagnosis History A 50-year-old man is in the cardiac surgical ward two days after bypass surgery: Diagnosis Sinus tachycardia, 115/min, with complete heart block Junctional escape rhythm, with incomplete right bundle branch block (iRBBB) pattern and nonspecific ST abnormality …
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Case 41: A 62-Year-Old Man with Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 62-year-old man with a five year history of nonischemic cardiomyopathy is in stable but advanced heart failure (NYHA class III) despite optimal medical therapy. His left ventricular ejection fraction is 18%: Diagnosis Sinus rhythm, 70/min Left bundle branch block …
Case 42: A 68-Year-Old Woman in Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 68-year-old woman with non-ischemic cardiomyopathy is in hospital with severe congestive heart failure, despite optimal drug therapy: Diagnosis Sinus rhythm, 70/min Left bundle branch block QRS duration 160 msec ECG 2 Echocardiography demonstrated a severely impaired ejection …
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Case 45: An 82-Year-Old Man in the Cardiac Ward History Diagnosis History An 82-year-old man is admitted to the cardiology ward: Diagnosis DDD pacing (Atrial and ventricular sequential pacing), rate 63/min Premature ventricular complex followed by atrial sensing and ventricular pacing ECG ID: E626
Case 46: A 69-Year-Old Woman Presenting for Follow-Up History Diagnosis History A 69-year-old woman presents to the cardiology clinic for follow up: Diagnosis AAI pacing Atrial pacing followed by sinus rhythm and pacemaker inhibition Heart rate 52/min One premature ventricular complex Non-specific T wave abnormality The programmed rate of the atrial pacemaker is 50/min. As …
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Case 55: A 63-Year-Old Man in the Cath Lab History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 63-year-old man presents to the cardiac catherization lab six days after an acute myocardial infarction. His symptoms initially had improved with fibrinolysis, however he had recurrent chest pain after 24 hours, and …
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 124: A 39-Year-Old Woman with a Left Atrial Myxoma History Diagnosis ECG 2 ECG 2 Diagnosis History A 39-year old woman is postoperative day one from the resection of a left atrial myxoma: Diagnosis Sinus rhythm with complete heart block and junctional escape rhythm Atrial rate 66/min, ventricular rate 53/min Acute pericarditis During her …
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