Case 6: A 78-Year-Old Woman with a Heart Murmur History Diagnosis History This 78-year-old woman has been known to have a heart murmur for the past 8 years: Diagnosis Sinus rhythm with sinus arrhythmia – Rate 75/min 1st degree AV block (PR=230 msec) Left ventricular hypertrophy with repolarization abnormalities On review of a previous …
Case 11: A 26-Year-Old Woman with Palpitations History Diagnosis History This 26-year-old woman presents to her family physician’s office complaining of recent episodes of palpitations, that she describes as isolated thumps in her chest, that usually occur when she is resting in the evening: Diagnosis Sinus rhythm with sinus arrhythmia Occasional premature ventricular complexes Otherwise, …
Case 12: A 47-Year-Old Woman in the Emergency Department History Diagnosis History This 47-year-old woman presents to the Emergency Department, complaining of epigastric discomfort for the past few hours: Diagnosis Sinus rhythm with sinus arrhythmia, heart rate 68/min Normal ECG ECG ID: E407
Case 10: A 27-Year-Old Man in the Emergency Department History Diagnosis History A 27-year-old man is brought to the emergency department after he was accidentally hit by flying pieces of glass from a broken apartment window. His wounds were not severe and required a few stitches. The ECG was recorded when irregularity of his pulse was …
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Case 95: A 39-Year-Old Man with Renal Colic History Diagnosis History A 39-year-old man is presenting to the Emergency department with a left renal colic and complaints of atypical left chest pain: Diagnosis Sinus arrhythmia Early repolarization (a normal variant) There is ST elevation with upward concavity that is marked in the chest leads and …
Case 145: Why the Marked Changes in ECG 2? History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Diagram History This 73 year old man on hemodialysis for chronic renal failure presented with prolonged chest pain and serum troponin elevation. Coronary angiography demonstrated complex lesions of the left anterior descending and circumflex arteries unsuitable for angioplasty. …
Case 29: A 42-Year-Old Female in the Gynecology Ward History Diagnosis ECG 2 ECG 2 Diagnosis History A 42-year-old woman is admitted to the gynecology ward pre-operatively. An ECG is performed, which shows the following abnormality: Diagnosis Lead error: left arm electrode/cable detached/non-functional. This precludes the interpretation of the limb leads Sinus rhythm with sinus arrythmia …
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Case 38: A 42-Year-Old Man with Fatigue and Weakness History Diagnosis ECG 2 ECG 2 Diagnosis History A 42-year-old man presents to the Emergency Department with severe weakness and presyncope. He reports that four months ago, he started to notice fatigue on mild exertion. Previous ECG and Holter monitoring had shown sinus bradycardia at rest, limited …
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Case 56: An 81-Year-Old Woman in the Post-Anaesthetic Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 81-year-old woman just underwent surgery for small bowel obstruction. 15 years ago, she suffered from a myocardial infarction, requiring a 2-vessel aorto-coronary bypass. She is presently in the post-anaesthetic care unit, and has developped the following arrhythmia: …
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Case 80: A 57-Year-Old Woman with Palpitations History Diagnosis History A 57-year-old woman presents with occasional palpitations that she describes a precordial pounding. She has good exercise tolerance, and no other complaints: Diagnosis Marked sinus arrhythmia (respiratory), 84/min Otherwise a normal ECG In sinus arrhythmia, there may be variations of the P wave morphology, probably …
