Case 120: A 34-Year-Old Man with Severe Vomiting History Diagnosis ECG 2 ECG 2 Diagnosis History A 34-year-old man is admitted because of severe vomiting following prolonged heavy alcohol intake: Diagnosis Sinus rhythm, 86/min Prolonged Q-TU Tall U waves Findings compatible with hypokalemia This patient had been suffering from frequent episodes of severe vomiting. When …
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Case 143: A 43-Year-Old Man in the Renal Dialysis Unit History Diagnosis History This 43-year-old man is treated in the dialysis unit for chronic renal failure: Diagnosis Sinus rhythm with first degree AV block Left atrial enlargement Left ventricular hypertrophy with repolarization abnormality Prolonged QT (QT/QTC = 444/506 msec) ECG ID: E189
Case 17: A 66-Year-Old Woman Admitted with a Drug Overdose History Diagnosis ECG 2 ECG 2 Diagnosis History This 66-year-old woman with a history of depression and chronic back pain was brought to the Emergency Department a few hours after having ingested large doses of acetaminophen, oxycodone and citalopram: Diagnosis Sinus rhythm, 82/min Minimal voltage …
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Case 24: A 23-Year-Old Man who Collapsed History Diagnosis ECG 2 ECG 2 Diagnosis History This 23-year-old man had an out-of-hospital cardiac arrest one hour after playing hockey. He was successfully resuscitated.This ECG was recorded 2 weeks later, when he was transferred to a tertiary care cardiac center: Diagnosis Sinus bradycardia, 58/min, with interpolated premature ventricular …
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 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 11: A 20-Year-Old Woman Who Fainted History Diagnosis History This 20-year-old woman is admitted after an episode of syncope. She has a strong family history of sudden cardiac death: Diagnosis Sinus rhythm, 96/min.QT/QTc = 400/505 msec. Comments: A twin sister and a paternal aunt of the patient had suffered sudden death. In view of the …
Case 12: A 33-Year-Old Woman Who Had a Cardiac Arrest History Diagnosis History This 33-year-old woman, who had an episode of cardiac arrest following a minor motor-vehicle accident, is transferred to a secondary-care hospital for further care. Ventricular fibrillation was shown on monitor to have been caused by a pause-dependent late-coupled premature ventricular complex. On …
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Case 28: A 32-Year-Old Woman Found Unconscious at Home History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History This 32-year-old woman is found unconscious by a friend on her apartment’s floor. Near her was an empty medication bottle: Diagnosis Sinus rhythm, 63/min Wide P waves (P …
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