Case 7: A 57-Year-Old Woman with Dyspnea History Diagnosis History This 57-year-old woman had rheumatic fever at age 17. During the past year, her exercise tolerance has severely decreased due to fatigue and dyspnea: Diagnosis Sinus rhythm, 70/min Left atrial enlargement Right axis deviation Right ventricular hypertrophy The patient had been known to have mitral …
Case 4: An 88-Year-Old Woman with Weakness and Dyspnea History Diagnosis History An 88-year-old woman with a 10 year history of coronary artery disease is referred to the Emergency Department by her family physician for weakness and dyspnea on mild exertion for the past week: Diagnosis Atrial tachycardia with 2:1 AV block Ventricular rate 107/min …
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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 9: A 42-Year-Old Woman with Heart Failure History Diagnosis History A 42-year-old woman with a history of rheumatic fever in her teens and a known murmur for the past ten years presents with a progressively decreasing exercise tolerance for the past four years, and a recent admission to hospital for congestive heart failure: Diagnosis …
Case 16: A 62-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis History A 62-year-old man is presenting with ischemic cardiomyopathy, with severely impaired LV function (LV ejection fraction 21%): Diagnosis Sinus rhythm, 61/min Right axis deviation Nonspecific intraventricular block ECG ID: E456
Case 5: A 78-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 78-year-old woman is admitted to the cardiovascular ICU after repair of a ruptured abdominal aortic aneurysm. She is known to have a congenital cardiac abnormality: Diagnosis P waves negative in lead I, positive in lead 2 – …
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Case 26: A 57-Year-Old Man in the Emergency Department History Diagnosis History A 57-year-old smoker with a history of chronic obstructive lung disease and sleep apnea is in the emergency department complaining of increasing dyspnea and cough during the past 3 days: Diagnosis Sinus tachycardia, 140/min Biatrial enlargement Right axis deviation Findings are suggestive of …
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Case 28:A 50-Year Old Woman in the Medical ICU History Diagnosis History A 50-year-old woman suffered from bilateral bronchiectasis and chronic pseudomonas lung infection for many years. Her condition has recently deteriorated and she is in the medical ICU in severe respiratory failure: Diagnosis Sinus tachycardia, 106/min Left atrial enlargement Right axis deviation Comment: Prominent negative P …
Case 39: A 39-Year-Old Man with Progressive Exertional Dyspnea History Diagnosis History A 39-year-old man with past history of recurrent deep vein thrombosis is presenting with dyspnea on exertion that has been progressive during the last 3 weeks: Diagnosis Sinus rhythm, 95/min Possible left atrial enlargement Right axis deviation S1Q3 pattern Incomplete right bundle branch …
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Case 53: A 66-Year-Old Man in the Clinic History Diagnosis History A 66-year-old man is in the office of his family physician for his yearly assessment. He has a history of hypertension, well controlled on medication and he is active and apparently in good health: Diagnosis Sinus rhythm, 76/min Right axis deviation Left posterior fascicular block …
