Case 11: A 26-Year-Old Woman with Palpitations History Diagnosis History This 26-year-old woman presents to her family physician’s office complaining of recent episodes of palpitations, that she describes as isolated thumps in her chest, that usually occur when she is resting in the evening: Diagnosis Sinus rhythm with sinus arrhythmia Occasional premature ventricular complexes Otherwise, …
Case 6: A 70-Year-Old Woman with Hypertension History Diagnosis History This 70-year-old woman with history of poorly treated hypertension presents to her family doctor, complaining of palpitations: Diagnosis Sinus rhythm with premature ventricular complexes in a pattern of bigeminy. Ventricular rate 92/min Left ventricular hypertrophy with repolarization abnormality ECG ID: E653
Case 10: A 68-Year-Old Man in the Emergency Department History Diagnosis History A 68-year-old man is brought to the Emergency Department after a fall: Diagnosis Sinus tachycardia, 102/min Frequent premature ventricular complexes Otherwise, normal ECG ECG ID: E619
Case 12: A 43-Year-Old Man with Palpitations History Diagnosis History A 43-year-old man presents with frequent episodes of palpitations, unrelated to exertion, which he describes as the sensation of isolated pulsations in his anterior chest: Diagnosis Sinus rhythm, 78/min Frequent premature ventricular complexes Otherwise, a normal ECG ECG ID: E544
Case 23: A 63-Year-Old Man in the Intensive Care Unit History Diagnosis History A 63-year-old man with an extensive pulmonary carcinoma is admitted to the Intensive Care Unit with pneumonia and bilateral pleural effusion: Diagnosis Atrial fibrillation with rapid ventricular response (ventricular rate 206/min) Two premature ventricular complexes ST and T abnormality, consider lateral ischemia …
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Case 4: A 79-Year-Old Man in the Emergency Department with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis History A 79-year-old man was referred to the Emergency Department by his family physician. During the past 12 hours he had been complaining of palpitation, weakness and dyspnea. He had been well treated for hypertension. Prior to …
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Case 5: A 78-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old woman is admitted to the cardiovascular ICU after repair of a ruptured abdominal aortic aneurysm. She is known to have a congenital cardiac abnormality: Diagnosis P waves negative in lead I, positive in lead 2 – …
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Case 7: A 75-Year-Old Man in the Emergency Department History Diagnosis History This ECG of a 75-year-old man has been recorded in the Emergency Department. No clinical information has been supplied and no previous ECGs are available for comparison: Diagnosis Sinus rhythm, 85/min with frequent premature ventricular complexes in a pattern of bigeminy Left ventricular hypertrophy …
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Case 14: A 66-Year-Old Man in the Cardiac ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 66-year-old stable man in satisfactory condition is admitted to the cardiac ICU after successful aorto-coronary bypass surgery: Diagnosis Sinus rhythm, 93/min with marked first degree AV block (PR = 800 msec) One premature ventricular complex ST-T abnormality, …
Case 22: A 72-Year-Old Man in the Cardiac Clinic History Diagnosis History A 72-year-old man is in the cardiac clinic: Diagnosis Electronic ventricular pacemaker, rate 53/min Underlying sinus rhythm with complete heart block One premature ventricular complex There are regular sinus P waves (rate 67/min), with complete AV block. There is a single chamber ventricular …
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