Right Bundle Branch Block

Case 149: A 74-Year-Old Man Scheduled for Cardiac Surgery

Practice Level 4

Case 149: A 74-Year-Old Man Scheduled for Cardiac Surgery History Diagnosis ECG 2 ECG 2 Diagnosis ECG Comparison History This 74-year-old man with a history of coronary artery disease is scheduled to undergo aorto-coronary bypass surgery:  Diagnosis Sinus rhythm, 58/min Left anterior fascicular block ECG 2 Two days after successful and uncomplicated aorto-coronary bypass surgery, …

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Case 154: A 61-Year-Old Man with Infective Endocarditis

Practice Level 4

Case 154: A 61-Year-Old Man with Infective Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History This 61-year-old man is admitted with infective endocarditis of the mitral valve: Diagnosis Atrial flutter Complete heart block with a wide-QRS escape rhythm (right bundle branch block pattern) Ventricular rate 54/min When patients with atrial flutter develop …

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Case 10: A 29-Year-Old Woman in the Cardiac Surgical ICU

Practice Level 5

Case 10: A 29-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis History This 29-year-old woman with Marfan’s syndrome is in the cardiac surgical intensive care unit 2 days after Bentall procedure (replacement of the aortic valve, aortic root and ascending aorta): Diagnosis Sinus rhythm with 2:1 second degree AV block and junctional escape complexes (escape-capture …

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Case 23: A 36-Year-Old Man in the ER with Palpitations

Practice Level 5

Case 23: A 36-Year-Old Man in the ER with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 36-year-old man is presenting to the Emergency Department with palpitation, anterior chest discomfort, dyspnea and presyncope. The symptoms had started 45 min earlier. During the previous 4 weeks he had experienced 2 similar episodes that had terminated …

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Case 27: A 59-Year-Old Man in the Emergency Department

Practice Level 5

Case 27: A 59-Year-Old Man in the Emergency Department History Diagnosis History This 59-year-old man was brought to the Emergency Department after an episode of sudden syncope lasting three minutes while at work. On arrival, he had no complaints. His vitals and neurological examination were normal. He reports two occasions during the past three months where …

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