Case 111: A 69-Year-Old Diabetic Woman for Routine Assessment History Diagnosis History A 69-year-old diabetic woman with no history of cardiac complaints, is seen by her family physician for a routine assessment: Diagnosis Sinus rhythm Right bundle branch block ECG ID: E232
Case 112: A 68-Year-Old Man in the CCU History Diagnosis ECG 2 ECG 2 Diagnosis History A 68-year-old man is admitted to the coronary care unit with severe anterior chest pain: Diagnosis Sinus rhythm Right bundle branch block Acute anterior myocardial infarction Lateral injury pattern ECG 2 1 hours after admission an arrhythmia occurred, associated …
Case 113: A 75-Year-Old Man with Recent Change to ECG History Diagnosis ECG 2 History A 75-year-old man, followed in the cardiac clinic. He had triple aorto-coronary bypass surgery 15 year ago. He has remained stable and symptom-free during moderate exercise. His family doctor has referred him because his ECG has recently changed. He has …
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Case 121: A 76-Year-Old Woman Who Fainted History Diagnosis History A 76-year-old woman had a 2 years history of episodes of atrial fibrillation with rapid ventricular response. She was on Digoxin and Atenolol. The following ECG is recorded in the emergency department, where she is brought by ambulance after she fainted at home: Diagnosis Marked …
Case 127: A 79-Year-Old Man after Aortic Valve Replacement History Diagnosis History A 79-year-old man had replacement of his aortic valve with a bio-prosthesis because of severe calcific aortic stenosis. This ECG tracing is recorded at the end of the operation: Diagnosis Sinus rhythm, with Mobitz II second degree AV block Right bundle branch block (RBBB) …
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Case 129: A 73-Year-Old Woman in Cardiology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History A 73-year-old woman suffered from a myocardial infarct 6 years ago, but recovered and is free of angina. Routine ECG recorded in the cardiac clinic is as follow: Diagnosis Sinus bradycardia, 50/min Left anterior fascicular block (LAFB) and Right bundle branch …
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Case 145: Why the Marked Changes in ECG 2? History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Diagram History This 73 year old man on hemodialysis for chronic renal failure presented with prolonged chest pain and serum troponin elevation. Coronary angiography demonstrated complex lesions of the left anterior descending and circumflex arteries unsuitable for angioplasty. …
Case 9: A 79-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 79-year-old woman is in the cardiac surgical ICU, one week following aorto-coronary bypass surgery. The post-operative course has been complicated by pneumonia and respiratory failure, requiring intubation: Diagnosis Pseudo-flutter-waves artifacts, rate 480/min The artifacts preclude the …
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Case 13: A 76-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis History You are notified about an abnormal ECG in a 76-year-old man admitted to the acute care unit with infective endocarditis of his prosthetic aortic valve: Diagnosis Sinus rhythm with Mobitz I second degree AV block – Ventricular rate 82/min Right bundle …
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Case 19: A 45-Year-Old Man in the Cardiac Ward History Diagnosis ECG 2 ECG 2 Diagnosis History This 45-year-old man was diagnosed two years ago with dilated cardiomyopathy of unknown etiology. He was symptom-free until three weeks ago when he started complaining of frequent palpitations associated with weakness and occasional near-syncope. He has been admitted …
