Case 35: A 66-Year-Old Man in the Emergency Department History Diagnosis History A 66-year-old man is in the Emergency Department: Diagnosis Sinus bradycardia with marked sinus arrhythmia – Ventricular rate 56/min Occasional junctional escape complexes Incomplete right bundle branch block (iRBBB) alternating with complete right bundle branch block (rate-related aberrancy) ECG ID: E528
Case 38: A 75-Year-Old Man in the Emergency Department History Diagnosis History A 75-year-old man with a longstanding history of coronary artery diseases is in the emergency department complaining of weakness, dyspnea and occasional faintness during the past 2 days: Diagnosis Very slow ectopic atrial rhythm (atrial rate 21/min) with junctional escape complexes (escape-capture bigeminy) …
Case 38: A 75-Year-Old Man in the Emergency Department Read More »
Case 40: A 73-Year-Old Man who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 73-year-old man is brought to the Emergency Department after an episode of sudden loss of consciousness that lasted 5-10 minutes. In the previous several weeks he had felt tired and weak: Diagnosis Sinus rhythm with …
Case 52: A 76-Year-Old Woman Admitted with Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis Explanatory Diagram History A 76-year-old woman is admitted to the cardiac ward for treatment of heart failure: Diagnosis Sinus bradycardia, 55/min Right bundle branch block Anterior myocardial infarction, age undetermined ECG 2 The …
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Case 64: An 82-Year-Old Man with Abnormal ECG History Diagnosis History This 82-year-old man is referred by his family physician because of the ECG abnormalities. He lives in a senior citizen apartment and is active and symptom-free with no history of dizziness or syncope: Diagnosis Sinus rhythm with type II sino-atrial exit block Junctional escape …
Case 66: An 81-Year-Old Man who Fainted History Diagnosis History This 81-year-old man had a myocardial infarction at age 75. He had angioplasty and stenting of his LAD and circumflex arteries and has been stable with infrequent angina since. He is seen in the cardiac clinic because of an episode of syncope that lasted a …
Case 68: A 68-Year-Old Man with Mitral Valve Disease History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Diagram History This 68-year-old man with known rheumatic valvular disease had a mitral commissurotomy 7 years ago. He has moderate mitral stenosis and regurgitation. He is followed in the arrhythmia clinic: Diagnosis Right arm-right leg lead reversal – This …
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Case 69: A 25-Year-Old Woman with Episodes of Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History This 25-year-old woman in the past 4 years has had 5-6 episodes of fast regular palpitation, starting and ending abruptly, lasting 45-60 minutes: Diagnosis Sinus rhythm Wolff-Parkinson-White EP studies demonstrated …
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Case 75: A 61-Year-Old Man with Endocarditis History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 61-year-old man with multiple serious medical problems is referred to the Emergency Department by his family physician. He has had a fever for one week and his blood cultures are positive for streptococcus viridans. …
Case 79: A 69-Year-Old Man with Severe Lung Disease History Diagnosis History This 69-year-old man with a long history of chronic obstructive lung disease and asthma is admitted because of worsening of his respiratory failure: Diagnosis Sinus tachycardia with occasional premature supraventricular complexes Right atrial enlargement Right bundle branch block Right ventricular hypertrophy Comment: This patient …
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