Case 2: A 37-Year-Old Man with Two Days of Chest Pain History Diagnosis History A 37-year-old man with a history of longstanding ulcerative colitis presents to the ED with a two-day history of constant pleuritic chest pain. This ECG is acquired in the emergency room: Diagnosis Sinus rhythm Pericarditis Note the diffuse ST elevation involving …
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Case 33: A 21-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 21-year-old man is presenting to the Emergency Department with 2-day history of left anterior chest pain and worse on deep inspiration: Diagnosis Sinus rhythm Diffuse ST elevation, PR depression Acute pericarditis The patient …
Case 39: A 29-Year-Old Man with Chest Pain History Diagnosis History A 29-year-old man had been complaining of chest pain worse on deep breathing for the previous 5 days: Diagnosis Sinus rhythm Acute pericarditis ECG ID: E187
Case 56: A 30-Year-Old Man with Chest Pain History Diagnosis History A 30 year old man is seen in the Emergency Department for a one day history of anterior chest pain. Diagnosis Sinus tachycardia (104/min) Acute pericarditis On auscultation there was a pericardial friction rub, that confirmed the diagnosis. ECG ID: E109
Case 87: A 59-Year-Old Woman on Chronic Renal Dialysis History Diagnosis History A 59-year-old woman on hemo-dialysis because of renal failure due to lithium nephrotoxicity is admitted to hospital with acute anterior chest pain: Diagnosis Sinus rhythm Acute pericarditis This patient has bipolar and manic depression and during the previous 10 days failed to show-up …
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Case 52: A 68-Year-Old Woman with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis History This 68-year-old woman is brought to the Emergency Department because of severe pain for the past 2-3 hours, initially on the back of her neck and left shoulder, later moving to her anterior chest, worse on taking deep breaths …
Case 53: An 81-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 81-year-old man came to the Emergency Department complaining of anterior chest pain of 4 days duration, worse when sitting up and inhaling deeply. For several months, his state of health had deteriorated, with increasing …
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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Case 146: A 54-Year-Old Man in the Cardiac Surgery ICU History Diagnosis History This 54-year-old man complains of chest pain one day after a successful bypass surgery: Diagnosis Sinus rhythm Acute pericarditis The ECGs of patients who have had cardiac surgery frequently show ECG findings of acute pericarditis in the first few days after the …
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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 …
