Case 32: A 67-Year-Old Man in the Cardiac Ward History Diagnosis History This 67-year-old man with a long history of coronary artery disease is admitted to the cardiac ward for investigation of frequent angina: Diagnosis Atrial fibrillation with frequent premature ventricular complexes (PVCs) Onset of ventricular tachycardia (rate 145/min) – One fusion complex. Ventricular rate …
Case 40: A 50-Year-Old Man in the Cardiac Surgical Ward History Diagnosis ECG 2 ECG 2 Diagnosis History A 50-year-old man is in the cardiac surgical ward two days after bypass surgery: Diagnosis Sinus tachycardia, 115/min, with complete heart block Junctional escape rhythm, with incomplete right bundle branch block (iRBBB) pattern and nonspecific ST abnormality …
Case 40: A 50-Year-Old Man in the Cardiac Surgical Ward Read More »
Case 45: An 82-Year-Old Man in the Cardiac Ward History Diagnosis History An 82-year-old man is admitted to the cardiology ward: Diagnosis DDD pacing (Atrial and ventricular sequential pacing), rate 63/min Premature ventricular complex followed by atrial sensing and ventricular pacing ECG ID: E626
Case 46: A 69-Year-Old Woman Presenting for Follow-Up History Diagnosis History A 69-year-old woman presents to the cardiology clinic for follow up: Diagnosis AAI pacing Atrial pacing followed by sinus rhythm and pacemaker inhibition Heart rate 52/min One premature ventricular complex Non-specific T wave abnormality The programmed rate of the atrial pacemaker is 50/min. As …
Case 46: A 69-Year-Old Woman Presenting for Follow-Up Read More »
Case 55: A 63-Year-Old Man in the Cath Lab History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 63-year-old man presents to the cardiac catherization lab six days after an acute myocardial infarction. His symptoms initially had improved with fibrinolysis, however he had recurrent chest pain after 24 hours, and …
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: …
Case 56: An 81-Year-Old Woman in the Post-Anaesthetic Care Unit Read More »
Case 69: A 48-Year-Old Man in the Cardiac Clinic History Diagnosis History A 48-year-old man is referred to the cardiac clinic for a two-year history of dyspnea on exertion and occasional palpitations: Diagnosis Sinus rhythm Frequent premature ventricular complexes (with retrograde atrial capture) Septal infarction, age undetermined (poor R wave progression in V1-V3; the second …
Case 69: A 48-Year-Old Man in the Cardiac Clinic Read More »
Case 89: A 48-Year-Old Woman with Trisomy 21 History Diagnosis History This 48-year-old woman with Trisomy 21 has a known large ventricular septal defect and EIsenmenger syndrome. She is on continuous oxygen therapy and is very limited by dyspnea and fatigue on mild exertion: Diagnosis Sinus rhythm with one premature ventricular complex First degree AV …
Case 102: A 32-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with several risk factors for coronary artery disease (family history, hyperlipidemia, and smoking) is seen in the Emergency Department one hour after the onset of severe retrosternal pain radiating to the …
Case 115: A 71-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis History This 71-year-old man with a known history of coronary artery disease and a previous myocardial infarction is seen in the emergency department following an episode of syncope at home. He collapsed and hit the back of his head. He reports …
