Right Superior Axis Deviation Archives

Case 2: A 65-Year-Old Man in the Intensive Care Unit

Case 2: A 65-Year-Old Man in the Intensive Care Unit History Diagnosis History A 65-year-old man with severe chronic obstructive lung disease has been admitted to the intensive care unit for treatment of broncho-pneumonia: Diagnosis Sinus tachycardia, 110/min Biatrial enlargement Right superior axis deviation Comment: This ECG shows typical findings seen in patient with chronic …

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Case 51: A 64-Year-Old Woman with Congestive Cardiomyopathy

Practice Level 3

Case 51: A 64-Year-Old Woman with Congestive Cardiomyopathy History Diagnosis History A 64-year-old woman is followed in the cardiac clinic for congestive cardiomyopathy of 4 years duration. During the last year she has been stable and failure-free: Diagnosis Sinus rhythm Right superior axis deviation Nonspecific intraventricular block ECG ID: E458

Case 54: A 68-Year-Old Man with Congestive Cardiomyopathy

Practice Level 3

Case 54: A 68-Year-Old Man with Congestive Cardiomyopathy History Diagnosis History A 68-year-old man with 5 year history of congestive cardiomyopathy is in his family physician’s office for a routine assessment. His condition is stable and he has no symptoms or signs of heart failure: Diagnosis Sinus rhythm, 84/min Right superior axis deviation Nonspecific intraventricular block …

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Case 112: A 68-Year-Old Man in the CCU

Practice Level 3

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 …

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Case 73: A 59-Year-Old Man in the Emergency Department

Practice Level 4

Case 73: A 59-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 59-year-old man with severe peripheral vascular disease was in the pre-anaesthesia clinic for assessment prior to his admission for vascular surgery. It was noted that his pulse was very rapid and irregular, despite him being asymptomatic. He …

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Case 79: A 65-Year-Old Woman in the Cardiac Clinic

Practice Level 4

Case 79: A 65-Year-Old Woman in the Cardiac Clinic History Diagnosis History This 65-year-old woman with an eight-year history of coronary artery disease presents to the cardiac clinic for her annual assessment. She had an aortocoronary bypass surgery five years ago, and is free of angina. Her echocardiogram shows diffuse LV hypokinesis, with an ejection …

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Case 40: A 73-Year-Old Man who Fainted

Practice Level 5

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 …

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