Case 71: A 60-Year-Old Woman with Scleroderma History Diagnosis History A 60-year-old woman with a 10 year history of scleroderma is presenting to the Clinic: Diagnosis Sinus rhythm Left atrial enlargement Right axis deviation Right ventricular hypertrophy Non-specific ST and T abnormality The patient had scleroderma with severe pulmonary hypertension (pulmonary artery pressure 105 mmHg) …
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 139: A 70-Year-Old Woman in the ICU with Pneumonia History Diagnosis ECG 2 ECG 2 Diagnosis History A 70-year-old woman with chronic severe obstructive lung disease is in the medical intensive care unit with bronchopneumonia: Diagnosis Atrial tachycardia with 2:1 AV block Ventricular rate 96/min Right axis deviation Right ventricular hypertrophy Non-specific T …
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Case 41: A 62-Year-Old Man with Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 62-year-old man with a five year history of nonischemic cardiomyopathy is in stable but advanced heart failure (NYHA class III) despite optimal medical therapy. His left ventricular ejection fraction is 18%: Diagnosis Sinus rhythm, 70/min Left bundle branch block …
Case 58: A 72-Year-Old Woman with Congestive Heart Failure History Diagnosis History This 72-year-old woman with a history of rheumatic heart disease and a mechanical mitral valve is admitted to the cardiac ward for treatment of congestive heart failure: Diagnosis – Sinus rhythm, 88/min– Right axis deviation– Right ventricular hypertrophy with repolarization abnormality Comments: The echocardiogram …
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Case 71: A 78-Year-Old Woman in Congestive Heart Failure History Diagnosis History This 78-year-old woman with a previous history of rheumatic fever and an associated heart murmur presents to the hospital in severe congestive heart failure: Diagnosis Atrial fibrillation – Ventricular rate 84/min Right axis deviation Incomplete right bundle branch block (iRBBB) Biventricular hypertrophy Right …
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Case 75: A 25-Year-Old Woman in the ICU History Diagnosis History This 25-year-old woman with chronic respiratory failure and hypoventilation secondary to kyphoscoliosis and restrictive lung disease is admitted to the Intensive Care Unit with pulmonary aspergillosis: Diagnosis Sinus tachycardia 110/min Biatrial enlargement Right axis deviation Right ventricular hypertrophy Diffuse T wave abnormality The presence …
Case 153: A 65-Year-Old Man in the ICU History Diagnosis History This 65-year-old man with a significant smoking history is admitted to the ICU with pneumonia and severe hypoxemia requiring intubation: Diagnosis Atrial tachycardia, 174/min Right axis deviation rSR’ pattern in V1, consider right ventricular conduction abnormality A diagnosis of incomplete right bundle branch block …
