Case 108: A 43-Year-Old Woman with Asthma History Diagnosis History A 43-year-old woman is presenting to the emergency department complaining of exacerbation of her asthma. She often complains of palpitation that she describes as a sensation of “thumps in her chest”: Diagnosis Sinus rhythm with premature atrial complexes (one with aberrant conduction) Left atrial enlargement …
Case 141: A 68-Year-Old Woman with Irregular Pulse History Diagnosis History A 68-year-old woman is referred to the ECG laboratory by her family physician. No history is provided: Diagnosis Sinus rhythm with bigeminal sequence Likely sinus rhythm with premature atrial complexes Comment: Given the p-wave morphology of the early atrial beat is slightly different than …
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Case 37: An 85-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History An 85-year-old man presents to the Emergency Department because of severe urinary retention secondary to prostatic carcinoma. The patient had an aorto-coronary bypass surgery 10 years earlier. He was diagnosed with Alzheimer’s disease …
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Case 44: A 73-Year-Old Man Presenting for Follow-Up History Diagnosis ECG 2 ECG 2 Diagnosis Diagram History This 73-year-old man with known dilated cardiomyopathy is in the cardiac clinic for a routine reassessment: Diagnosis Suspect lead placement error: left arm-right leg lead reversal Sinus rhythm 60/min, with one premature atrial complex Possible non-specific intraventricular block …
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Case 56: An 81-Year-Old Woman in the Post-Anaesthetic Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 81-year-old woman just underwent surgery for small bowel obstruction. 15 years ago, she suffered from a myocardial infarction, requiring a 2-vessel aorto-coronary bypass. She is presently in the post-anaesthetic care unit, and has developped the following arrhythmia: …
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Case 103: A 78-Year-Old Woman in the Endocrinology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 78-year-old woman with a longstanding history of poorly controlled hypertension, type 2 diabetes, and left ventricular dysfunction, presents to the endocrinology clinic for follow-up, and a routine ECG is obtained: Diagnosis Sinus tachycardia, 105/min with occasional premature …
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Case 104: A 59-Year-Old Man in the Cardiac Surgery Ward History Diagnosis History This 59-year-old man with a two year history of angina is admitted to the cardiac surgery ward to undergo coronary artery bypass surgery: Diagnosis Sinus rhythm with bigeminal sequence Consider: Type I sino-atrial block or premature atrial complexes (originating in an area …
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Case 108: A 37 Year-Old-Man with Palpitations History Diagnosis History This 37-year-old man reports a several year history of occasional palpitations, with isolated runs of “thumps” in his chest: Diagnosis Sinus rhythm, with frequent premature atrial complexes (PACs), isolated, in a couplet, and in a run of atrial tachycardia The first PAC of the couplet …
Case 119: A 51-Year-Old Woman with Palpitations History Diagnosis History This 51 year old woman presents with palpitations, that she describes as a sensation of irregular pounding in her precordium.She has no other cardiac symptoms: Diagnosis Sinus rhythm with frequent premature atrial complexes with aberrant conduction The pattern of aberration varies (iRBBB, RBBB, LBBB). ECG …
Case 168: A 70 Year-Old Man in the Emergency Room with Palpitations History Diagnosis History A 70 year-old man is seen in the emergency room complaining of palpitations for the last few hours. Vitals are stable. His 12-lead ECG is shown below: Diagnosis Sinus Rhythm, 80/min Frequent and consecutive premature atrial complexes (several are annotated …
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