Case 117: An 88-Year-Old Man with Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 88-year-old man with a history of hypertension and diabetes was admitted to hospital for treatment of congestive heart failure. He had been on sotalol 80 mg po bid for the past year due to previous episodes of …
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Case 161: A 43-Year-Old Man in the Pre-Admission Clinic History Diagnosis Chest X-Ray History A 43-year-old man is seen in the pre-admission clinic prior to his upcoming thyroidectomy, and a routine ECG is performed: Diagnosis Dextrocardia Likely Sinus Rhythm Premature Ventricular Complex The negative P-wave and QRS complex in lead I along with the R …
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Case 164: A 71Year-Old Man Presents to ER with Severe Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 71 year-old man was awakened with severe chest pain. He called paramedics who treated him with ASA and brought him to the ER. Upon arrival, he was pain free. …
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Case 6: A 72-Year-Old Man in Pacemaker Clinic History Diagnosis History A 72-year-old man presents to pacemaker clinic for routine assessment. He complains of feeling weaker now than on his previous visit: Diagnosis Sinus rhythm with complete heart block VVI pacemaker with adequate sensing and capture Single isolated premature ventricular complex ECG ID: E781
Case 8: A 32-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 32-year-old woman with a long-standing history of palpitation varying from moderately rapid and regular to “a few thumps” in the precordium has the following ECG recorded during a typical episode of rapid palpitation: Diagnosis Ventricular tachycardia, 115/min. The QRS …
Case 18: A 46-Year-Old Man with Non-Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History A 46-year-old man with a nonischemic dilated cardiomyopathy most likely secondary to a viral myocarditis from which he suffered 8 years earlier whom at the time of his myocarditis had a pacemaker implanted because of second degree AV block …
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Case 29: A 48-Year-Old Man in the ER with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 48-year-old man has had frequent episodes of rapid palpitation since childhood, lasting 10-15 minutes, not associated with chest pain, dyspnea or faintness. He was investigated in a pediatric hospital and treated …
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Case 30: A 75-Year-Old Man with Unstable Angina History Diagnosis History A 75-year-old man is in the cardiac ward for investigation of unstable angina: Diagnosis Sinus rhythm with premature ventricular complexes, followed by AV dissociation due to an accelerated idioventricular rhythm One fusion complex ECG ID: E533
Case 63: A 61-Year-Old Woman with Severe Heart Failure History Diagnosis History This 61-year-old woman with known Adriamycin-induced cardiomyopathy as a result of treatment for lymphoma is in the ICU with severe heart failure that has required prolonged ventilation: Diagnosis Multifocal atrial tachycardia, rate 140/min One premature ventricular complex Left ventricular hypertrophy with QRS widening …
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Case 120: A 60 Year-Old Woman Admitted to Cardiology History Diagnosis History A 60 year old woman is admitted to the cardiology ward because of recurrent palpitations. On the day after admission, she was having her morning ECG and the initiation of her tachycardia was captured on the ECG (shown below): Diagnosis Sinus rhythm 75/min …
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