Premature Atrial Complex

Case 37: An 81-Year-Old Man with a History of Myocardial Infarction

Case 37: An 81-Year-Old Man with a History of Myocardial Infarction History Diagnosis History An 81-year-old man suffered from a myocardial infarction 5 years ago. He has been stable and free of angina, but recently he has been concerned about palpitation: Diagnosis Sinus rhythm, 82/min with premature atrial complexes Left axis deviation (QRS positive in …

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Case 55: An 84-Year-Old Woman with Palpitations

Case 55: A 84-Year-Old Woman Complaining of Palpitation History Diagnosis History A 84-year-old woman, independent and fairly active for her age and on medication for moderate systolic hypertension is presenting to her family physician’s office with recent complaints of palpitation, that she describes as “thumps” in her chest: Diagnosis Sinus rhythm with premature atrial complexes

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Case 37: A 63-Year-Old Woman in the Cardiac Clinic for Reassessment

Case 37: A 63-Year-Old Woman in the Cardiac Clinic for Reassessment History Diagnosis History A 63-year-old woman with a 4 year history of coronary artery disease is in the cardiac clinic for reassessment. She is stable, with infrequent mild angina on exertion: Diagnosis Sinus tachycardia with frequent non-conducted premature atrial complexes (PAC) Left axis deviation …

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Case 82: A 34-Year-Old Patient with Sickle Cell Crisis

Case 82: A 34-Year-Old Patient with Sickle Cell Crisis History Diagnosis History A 34-year-old man is presenting to the Emergency Department with severe pain in his back due to a sickle cell crisis, precipitated by exposure to cold and no chest pain: Diagnosis Sinus tachycardia with frequent premature atrial complexes with aberrant conduction Ventricular rate …

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