Case 2: 52-Year-Old-Man in ER with Palpitations ECG Diagnosis ECG 2 ECG 2 Diagnosis ECG A 52-year-old man with longstanding history of palpitations presents with an episode of palpitations that is more intense and of longer duration than his previous episodes: Diagnosis Atrial Fibrillation Preexcitation Likely left posterior accessory pathway ECG 2 This ECG is …
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Case 24: A 23-Year-Old Woman in the EP Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 23-year-old woman since her teens has suffered from episodes of rapid palpitation of sudden onset and termination, lasting 20-40 minutes, terminating spontaneously. She is referred to the EP clinic because of a recent episode that lasted 4 hours. …
Case 41: A 48-Year-Old Man with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 48-year-old man presented to the Emergency Department complaining of palpitation that had started suddenly 1 hour earlier, associated with dyspnea and weakness. He had experienced 3-4 episodes of palpitation in the past 15 years, …
Case 42: A 25-Year-Old Woman with Palpitation History Diagnosis History This 25-year-old woman has been referred to the EP clinic. In the past 5 years she has had episodes of rapid palpitation of sudden onset and termination, lasting up to one hour. The episodes were infrequent (about once a year), until recently, when they had …
Case 43: A 51-Year-Old Woman with History of Palpitations History Diagnosis History A 51-year-old woman had been seen in the EP clinic because of episodes of palpitation that started in her early teens. Recently they had become more frequent and prolonged and she had been in the Emergency Department three times in the past 6 …
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Case 44: A 23-Year-Old Woman in the EP Clinic History Diagnosis History A 23-year-old woman is referred to the Arrhythmia Clinic because of occasional brief episodes of palpitation, with sensation of anterior chest pounding, subsiding spontaneously: Diagnosis Sinus rhythm Wolff Parkinson White (preexcitation) Anteroseptal accessory pathway Comments: The location of the accessory pathway can …
Case 45: A 31-Year-Old Man in the EP Clinic History Diagnosis History A 31-year-old man is referred to the EP Clinic because of 3 episodes of palpitation in the past year, with very rapid precordial pounding, chest discomfort, faintness, and 2 brief episodes of loss of consciousness. The arrhythmia is treated with Adenosine: Diagnosis Sinus …
Case 46: A 16-Year-Old Woman in the EP Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 16-year-old woman is referred to the EP clinic because of episodes of palpitation during the past year: Diagnosis Sinus Rhythm Wolff-Parkinson-White Comment: EP studies demonstrated the presence of a right postero-septal bypass that was successfully ablated (see …
Case 47: A 51-Year-Old Man in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 51-year-old truck driver experienced 1-2 episodes a year of rapid palpitation since his twenties. 1 years ago he suffered from a myocardial infarction and was treated with angioplasty and stenting of his right coronary artery. He had …
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Case 69: A 25-Year-Old Woman with Episodes of Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History This 25-year-old woman in the past 4 years has had 5-6 episodes of fast regular palpitation, starting and ending abruptly, lasting 45-60 minutes: Diagnosis Sinus rhythm Wolff-Parkinson-White EP studies demonstrated …
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