Premature Ventricular Complex

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Case 32: A 67-Year-Old Man in the Cardiac Ward

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 …

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Case 40: A 50-Year-Old Man in the Cardiac Surgical Ward

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 …

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Case 46: A 69-Year-Old Woman Presenting for Follow-Up

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 …

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Case 56: An 81-Year-Old Woman in the Post-Anaesthetic Care Unit

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 69: A 48-Year-Old Man in the Cardiac Clinic

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 …

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