Case 32: A 67-Year-Old Man in the Cardiac Ward History Diagnosis History This 67-year-old man with a long history of coronary artery disease is admitted to the cardiac ward for investigation of frequent angina: Diagnosis Atrial fibrillation with frequent premature ventricular complexes (PVCs) Onset of ventricular tachycardia (rate 145/min) – One fusion complex. Ventricular rate …
Case 35: An 83-Year-Old Man in Low-Output Failure History Diagnosis History This 80-year-old man with known ischemic cardiomyopathy presents to the Emergency Department with severe low-output failure, hypotension, and hypoxemia. He denies any chest pain: Diagnosis Sinus rhythm, with a run of non-sustained atrial tachycardia, ventricular rate 80/min First degree AV block Nonspecific Intraventricular Block …
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Case 113: A 47-Year-Old Man in the Cardiac Catheterization Lab History Diagnosis ECG 2 ECG 2 Diagnosis History A 47-year-old man presenting with severe chest pain for the past hour is transferred to the catheterization lab for coronary angiography: Diagnosis Right arm – Left arm reversal Sinus rhythm Septal myocardial infarction, age undetermined T wave …
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Case 159: A 75-Year-Old Woman who had a Recent CABG History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 75-year-old woman is on the cardiac surgery ward two days after coronary artery bypass surgery: Diagnosis Atrial fibrillation with a junctional escape rhythm (rate 46/min). Consider the possibility of complete heart …
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Case 164: A 71Year-Old Man Presents to ER with Severe Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 71 year-old man was awakened with severe chest pain. He called paramedics who treated him with ASA and brought him to the ER. Upon arrival, he was pain free. …
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