Case 4: An 88-Year-Old Woman with Weakness and Dyspnea History Diagnosis History An 88-year-old woman with a 10 year history of coronary artery disease is referred to the Emergency Department by her family physician for weakness and dyspnea on mild exertion for the past week: Diagnosis Atrial tachycardia with 2:1 AV block Ventricular rate 107/min …
Case 4: An 88-Year-Old Woman with Weakness and Dyspnea Read More »
Case 59: An 88-Year-Old Man with Syncope History Diagnosis History An 88-year-old man is brought to the Emergency Deptartment from a local nursing home because of an episode of syncope lasting one minute. Recently, he had been complainng of fatigue, and his pulse had been noted to be slow: Diagnosis Sinus rhythm with second degree …
Case 109: A 78-Year-Old Man in the Cardiac Clinic History Diagnosis History This 78-year-old man who had aorto-coronary bypass surgery ten years ago is in the cardiac clinic for a routine follow-up. He is stable and free of dyspnea or chest pain during moderate exertion. He denies any dizziness or syncope: Diagnosis Sinus rhythm with …
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Case 136: A 63-Year-Old Woman with a Prosthetic Aortic Valve History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History Six months ago, this 63-year-old man underwent replacement of his aortic valve for severe calcific aortic stenosis. He did well, and was symptom-free until one week ago when he started experiencing weakness, fatigue …
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Case 84: A 42-Year-Old Woman After Ablation Procedure History Diagnosis History This 42-year-old woman, who had frequent prolonged episodes of AVNRT, underwent an ablation procedure. This ECG tracing is recorded shortly after the end of the procedure: Diagnosis Sinus rhythm Second degree AV block Junctional escape complexes (escape-capture bigeminy) Ventricular rate 49/min ECG ID: E271
Case 97: A 68-Year-Old Woman in the ER History Diagnosis History A 68-year-old woman is referred by her family doctor to the emergency department for recent episodes of severe weakness and lightheadedness: Diagnosis Sinus rhythm with second degree AV block and junctional escape complexes. ventricular rate 38/min Minimal criteria for left ventricular hypertrophy (R in V5 …
