Case 40: A 73-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 73-year-old man is brought to the Emergency Department after an episode of sudden loss of consciousness that lasted 5-10 minutes. In the previous several weeks he had felt tired and weak: Diagnosis Sinus rhythm with …
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 83: A 34-Year-Old Man with Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 34-year-old man, known to to have mitral valve prolapse with mild regurgitation, developed sudden cough and severe dyspnea. He is brought to the Emergency Department in acute pulmonary edema and has to be intubated …
Case 89: A 59-Year-Old Man After Mitral Valve Surgery History Diagnosis CXR ECG 2 ECG 2 Diagnosis History A 59-year-old man is noted to have a complete heart block after mitral valve surgery and undergoes a VVIR pacemaker implantation on post-operative day 5. You are called routinely after the surgery to assess his post-procedure ECG: …
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Case 92: A 68-Year-Old Man with Episodes of Near Syncope History Diagnosis ECG 2 ECG 2 Diagnosis History A 64-year-old retired police officer has been experiencing during the past year almost daily episodes of lightheadedness and occasionally “near-fainting”, lasting 2-5 minutes. He has been otherwise in excellent state of health and exercised regularly and vigorously: Diagnosis …
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Case 98: An 80-Year-Old Woman with Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History An 80-year-old is presenting woman with ischemic cardiomyopathy and advanced heart failure (New York Hear Association class III), despite optimal medical therapy. Left ventricular ejection fraction is 27%. Diagnosis Sinus rhythm, 60/min Left bundle branch block – QRS duration …
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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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Case 115: A 61 Year-Old Woman in the Defibrillator Clinic History Diagnosis History A 61 year old woman with a longstanding history of non-ischemic cardiomyopathy is seen in defibrillator clinic for routine follow-up. She states that she has been somewhat more short of breath in the last several weeks. Diagnosis Underlying sinus rhythm AV sequential …
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Case 121: An 87 Year-Old Pacemaker Patient in the Emergency Room History Diagnosis History An 87 year-old woman with a pacemaker presents to the emergency room with intermittent palpitations. Her ECG is shown below: Diagnosis Atrial paced rhythm, 60/min Premature atrial complexes Prolonged AV conduction (atrial pacing to native QRS time of 224ms) Intermittent ventricular …
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Case 124: An 89 Year-Old Woman in the Emergency Department History Diagnosis History An 89 year old woman presents to the Emergency Department after a fall without loss of consciousness. She has had a dual chamber pacemaker implanted 2 years ago for syncope secondary to sinus arrest and second–degree AV block. Her ECG is shown …
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