Case 2: A 68-Year-Old Woman with Intermittent Presyncope History Diagnosis ECG 2 ECG 2 Diagnosis History A 68-year-old woman is seen in the cardiac clinic for intermittent presyncope, which is more pronounced post-exercise. She is taken for a treadmill stress test, and has a normal heart rate response to exercise with no evidence of ischemia. …
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Case 90: A 50 Year-Old Man in the Cardiac ICU History Diagnosis History A 50-year-old man, who had a myocardial infarction 6 months ago, is in the cardiac intensive care unit one day after aorto-coronary bypass: Diagnosis Sinus bradycardia Sino-Atrial Block (Mobitz I second degree AV block) Inferior infarction ECG ID: E395
Case 100: An 89-Year-Old Man in the Geriatrics Clinic History Diagnosis History An 89-year-old man is followed in the geriatrics clinic because of dementia. He lives in a nursing home, and is able to walk regularly without discomfort. He has no known cardiac problems, and no history of syncope: Diagnosis Sinus rhythm with Mobitz II …
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Case 104: A 59-Year-Old Man in the Cardiac Surgery Ward History Diagnosis History This 59-year-old man with a two year history of angina is admitted to the cardiac surgery ward to undergo coronary artery bypass surgery: Diagnosis Sinus rhythm with bigeminal sequence Consider: Type I sino-atrial block or premature atrial complexes (originating in an area …
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Case 114: A 43-Year-Old Man with a Slow Pulse History Diagnosis History A 43-year old man is referred for bradycardia and occasional brief dizziness. He reports being very active, running several miles five days a week, without symptoms: Diagnosis Sinus rhythm with type II Sino-Atrial exit block and junctional escape complexes Ventricular rate 52/min The …
Case 125: A 75-Year-Old Woman in the Emergency Department History Diagnosis History A 75-year-old woman presents to the emergency department with “dizzy spells”. She reports having stable angina for past two years: Diagnosis Sinus bradycardia with Sino-atrial Exit Block Type II Junctional escape complexes Left axis deviation ST-T abnormality, consider lateral ischemia ECG ID: E316
Case 127: A 43-Year-Old Woman with Presyncope History Diagnosis History 43 year old woman referred to the cardiac clinic because of episodic presyncope: Diagnosis Sinus rhythm with Mobitz II second degree sinoatrial exit block Junctional escape complexes ECG ID: E315
Case 128: A 79-Year-Old Woman with Heart Failure History Diagnosis History This 79-year-old woman with heart failure with a reduced ejection fraction is seen in the cardiac clinic for follow-up. She is stable and euvolemic, and denies any presyncope: Diagnosis Sinus rhythm with possible sino-atrial block (Mobitz I) Left bundle branch block The P waves …
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Case 139: A 78-Year-Old Woman with Diabetes History Diagnosis History A 78-year-old woman with a history of diabetes and a three year history of mild stable angina presents for routine follow-up. Complete occlusion of the LAD has previously been demonstrated, with good collateral circulation. She also has moderately severe left ventricular dysfunction, with evidence of …
Case 56: A 64-Year-Old Woman in Cardiac Clinic History Diagnosis History This 64-year-old woman is seen in the cardiac clinic for a yearly follow-up. She had an anterior infarction 5 years ago and has made a good recovery. No cardiac symptoms during normal activity. Occasional brief episodes of dizziness. No history of syncope: Diagnosis …
