Case 7: A 57-Year-Old Woman with Dyspnea History Diagnosis History This 57-year-old woman had rheumatic fever at age 17. During the past year, her exercise tolerance has severely decreased due to fatigue and dyspnea: Diagnosis Sinus rhythm, 70/min Left atrial enlargement Right axis deviation Right ventricular hypertrophy The patient had been known to have mitral …
Case 5: A 56-Year-Old Man in the ICU History Diagnosis History This 56-year-old man with a longstanding history of chronic obstructive lung disease is admitted to the ICU with severe pneumonia: Diagnosis Sinus tachycardia, 110/min Right atrial enlargement Right axis deviation Right ventricular hypertrophy with repolarization abnormality (ST depression and negative T waves in the …
Case 9: A 42-Year-Old Woman with Heart Failure History Diagnosis History A 42-year-old woman with a history of rheumatic fever in her teens and a known murmur for the past ten years presents with a progressively decreasing exercise tolerance for the past four years, and a recent admission to hospital for congestive heart failure: Diagnosis …
Case 58: A 61-Year-Old Woman 2 Days after Cardiac Surgery History Diagnosis History A 61-year-old woman two days after cardiac surgery: Diagnosis Sinus rhythm, rate 92/min Left atrial enlargement Right ventricular hypertrophy This lady had severe mitral stenosis. She underwent mitral commissurotomy. ECG ID: E102
Case 70: A 41-Year-Old Man with Valvular Heart Disease History Diagnosis History A 41-year-old man is admitted with pneumonia and congestive heart failure. On examination evidence of valvular heart disease is discovered: Diagnosis Sinus rhythm Left atrial enlargement Right ventricular hypertrophy ST and T wave abnormality, consider anterolateral ischemia On admission the patient had evidence …
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Case 71: A 60-Year-Old Woman with Scleroderma History Diagnosis History A 60-year-old woman with a 10 year history of scleroderma is presenting to the Clinic: Diagnosis Sinus rhythm Left atrial enlargement Right axis deviation Right ventricular hypertrophy Non-specific ST and T abnormality The patient had scleroderma with severe pulmonary hypertension (pulmonary artery pressure 105 mmHg) …
Case 122: A 66-Year-Old Woman in the Respirology Clinic History Diagnosis History A 66-year-old woman is followed in the respiratory clinic for longstanding severe obstructive lung disease and bronchiectases: Diagnosis Sinus tachycardia, 110/min with one premature atrial complex Right atrial enlargement Right axis deviation Right ventricular hypertrophy The presence of right atrial enlargement, right axis …
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Case 130: A 51-Year-Old Woman in the Respirology Clinic History Diagnosis History A 51-year-old woman is followed in the respirology clinic because of severe idiopathic pulmonary fibrosis: Diagnosis Sinus rhythm Possible left atrial enlargement Right atrial enlargement Right axis deviation Right ventricular hypertrophy with repolarization abnormality Idiopathic pulmonary fibrosis had been diagnosed 3 years earlier …
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Case 136: A 52-Year-Old Woman with Sleep Apnea History Diagnosis History A 52-year-old developmentally challenged woman, obese and with sleep apnea has the following ECG: Diagnosis Sinus rhythm Right atrial enlargement (tall positive component of the P wave in V1) Right axis deviation Right ventricular hypertrophy with repolarization abnormality 5 year ago this lady had …
Case 139: A 70-Year-Old Woman in the ICU with Pneumonia History Diagnosis ECG 2 ECG 2 Diagnosis History A 70-year-old woman with chronic severe obstructive lung disease is in the medical intensive care unit with bronchopneumonia: Diagnosis Atrial tachycardia with 2:1 AV block Ventricular rate 96/min Right axis deviation Right ventricular hypertrophy Non-specific T …
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