Case 5: A 56-Year-Old Man in the ICU History Diagnosis History This 56-year-old man with a longstanding history of chronic obstructive lung disease is admitted to the ICU with severe pneumonia: Diagnosis Sinus tachycardia, 110/min Right atrial enlargement Right axis deviation Right ventricular hypertrophy with repolarization abnormality (ST depression and negative T waves in the …
Case 122: A 66-Year-Old Woman in the Respirology Clinic History Diagnosis History A 66-year-old woman is followed in the respiratory clinic for longstanding severe obstructive lung disease and bronchiectases: Diagnosis Sinus tachycardia, 110/min with one premature atrial complex Right atrial enlargement Right axis deviation Right ventricular hypertrophy The presence of right atrial enlargement, right axis …
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Case 130: A 51-Year-Old Woman in the Respirology Clinic History Diagnosis History A 51-year-old woman is followed in the respirology clinic because of severe idiopathic pulmonary fibrosis: Diagnosis Sinus rhythm Possible left atrial enlargement Right atrial enlargement Right axis deviation Right ventricular hypertrophy with repolarization abnormality Idiopathic pulmonary fibrosis had been diagnosed 3 years earlier …
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Case 136: A 52-Year-Old Woman with Sleep Apnea History Diagnosis History A 52-year-old developmentally challenged woman, obese and with sleep apnea has the following ECG: Diagnosis Sinus rhythm Right atrial enlargement (tall positive component of the P wave in V1) Right axis deviation Right ventricular hypertrophy with repolarization abnormality 5 year ago this lady had …
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 76: A 53-Year-Old Man in Respiratory Distress History Diagnosis History This 53-year-old man with a history of heavy smoking and longstanding obstructive lung disease has been admitted to the medical ICU in severe respiratory distress with reduced air entry and diffuse wheezes bilaterally: Diagnosis Sinus rhythm, 98/min. Right atrial enlargement RBBB and RVH (Right …
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Case 130: A 40-Year-Old Man with a Patent Ductus Arteriosus History Diagnosis History This 40-year-old man with a known patent ductus arteriosus presents with increasing dyspnea on exertion over the past five years: Diagnosis Sinus rhythm Right atrial enlargement Right bundle branch block plus right ventricular hypertrophy (RBBB and RVH) with repolarization abnormality This patient …
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Case 31: A 46-Year-Old Woman with Cyanosis and Clubbing History Diagnosis History A 46-year-old woman known to have cyanotic congenital heart disease, is severely disabled: Diagnosis Sinus Rhythm First degree AV block Right atrial enlargement Incomplete right bundle branch block (iRBBB) Left anterior fascicular block Possible right ventricular hypertrophy Voltage criteria for left ventricular hypertrophy …
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Case 72: A 51-Year-Old Man in the ICU History Diagnosis History This 51-year-old man, who had a left pneumonectomy 2 years ago, is in the Intensive Care Unit with pneumonia: Diagnosis Sinus tachycardia Right atrial enlargement Right ventricular hypertrophy with repolarization abnormality T wave abnormality, consider lateral ischemia Comments: There are findings of right atrial enlargement …
Case 79: A 69-Year-Old Man with Severe Lung Disease History Diagnosis History This 69-year-old man with a long history of chronic obstructive lung disease and asthma is admitted because of worsening of his respiratory failure: Diagnosis Sinus tachycardia with occasional premature supraventricular complexes Right atrial enlargement Right bundle branch block Right ventricular hypertrophy Comment: This patient …
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