Case 22: A 61-Year-Old Man in the Nephrology Clinic History Diagnosis History This 61-year-old hypertensive man is followed in the nephrology clinic because of severe progressive renal failure: Diagnosis Sinus tachycardia, 104/min Left anterior fascicular block Intermittent (2:1) right bundle branch block (RBBB) Notice that in leads I, II and III the first 80 msec. …
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Case 33: A 60-Year-Old Woman who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 60-year-old woman is sent to the Emergency Dept. by her family physician, who had seen her after an episode of sudden-onset syncope, lasting several minutes. She reports a one month history of brief episodes …
Case 36: An 83-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 83-year-old woman is brought to the Emergency Department from her nursing home after a brief episode of syncope: Diagnosis Sinus rhythm with 2:1 AV block – ventricular rate 59/min, PR markedly prolonged (436 msec) Right bundle branch …
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Case 39: A 66-Year-Old Man in the CICU History Diagnosis History A 66-year-old man is in the cardiac ICU one day after a triple aorto-coronary bypass surgery: Diagnosis Sinus rhythm with Mobitz II second degree AV block and one junctional escape complex The long P-P interval is close to 3x the basic P-P interval Ventricular rate …
Case 48: A 65-Year-Old Woman who Fainted History Diagnosis History This 65-year-old woman is brought to the Emergency Department following an episode of syncope lasting 30 seconds. In the previous 2 weeks she reports feeling weak and lightheaded: Diagnosis Sinus rhythm with high grade AV block Sinus rate 76/min, ventricular rate 37/min Junctional escape complexes …
Case 60: An 82-Year-Old Man in the Cardiac Surgical ICU History Diagnosis History An 82-year-old man is in the cardiac surgical ICU, one day after a triple aorto-coronary bypass: Diagnosis Sinus rhythm, 97/min Bifascicular block – Right bundle branch block and left posterior fascicular block ST and T wave abnormality, consider inferior ischemia ST abnormality, …
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Case 62: A 71-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 71-year-old man with end-stage renal disease on hemodialysis presents to the emergency department with weakness and malaise. He reports that he was recently treated with antibiotics for a febrile illness of unkown …
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Case 65: A 71-Year-Old Man with Episodic Syncope History Diagnosis Telemetry Telemetry Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 71-year-old man endorses a six month history of episodic weakness and pre-syncope. In the past month, he reports losing consciousness on several occasions, with episodes lasting 10-30 seconds. He presents …
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Case 72: A 58-Year-Old Man Recovering from Spinal Surgery History ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 58-year-old man was admitted after an accidental fall, and underwent urgent spinal surgery. This normal ECG was recorded during the pre-op assessment: ECG 2 On postoperative day 5, the patient suddeny became severely …
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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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