Case 5: A 56-Year-Old Woman Scheduled for Hysterectomy History Diagnosis History This 56-year-old woman presents for assessment prior to an elective hysterectomy. She has no cardiac complaints. An ECG is obtained, which shows the following: Diagnosis Sinus bradycardia, 50/min Normal ECG ECG ID: E115
Case 15: A 78-Year-Old Man with a Slow Pulse History Diagnosis History This 78-year-old man is seen by his family physician for a routine examination. He says he has had a slow pulse “for as long as he can remember”: Diagnosis Sinus bradycardia, 51/min Otherwise, a normal ECG ECG ID: E173
Case 25: A 58-Year-Old Woman with Recent Onset of Angina History Diagnosis History A 58-year-old diabetic hypertensive woman is admitted with a one-day history of episodes of retrosternal chest pain at rest and with mild exercise: Diagnosis Sinus bradycardia, 50/min ST and T wave abnormality, consider anterior ischemia On admission there was elevated troponin level …
Case 25: A 58-Year-Old Woman with Recent Onset of Angina Read More »
Case 26: A 23-Year-Old Woman with History of Palpitation History Diagnosis History A 23-year-old woman is presenting with complains of occasional palpitation for the past 3 years, that she describes as the sensation of forceful isolated thumps in her chest, particularly in the evening. She has no other symptoms and is normally active: Diagnosis Sinus bradycardia, …
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Case 30: A 60-Year-Old Man with Unstable Angina History Diagnosis History A 60-year-old man with a 3-year history of coronary artery disease is admitted to the Cardiac Care Unit with unstable angina: Diagnosis Sinus bradycardia, 51/min Right bundle branch block Marked T wave abnormality, compatible with ischemia Coronary angiography demonstrated triple-vessel coronary artery …
Case 52: A 19-Year-Old Man seen after an Accidental Fall History Diagnosis History A 19-year-old man is seen in the Emergency Department after an accidental fall on the subway stairs.The ECG is recorded because he was complaining of chest wall tenderness: Diagnosis Marked sinus bradycardia (45/min) with sinus arrhythmia ST elevation, compatible with early repolarization …
Case 52: A 19-Year-Old Man seen after an Accidental Fall Read More »
Case 29: A 58-Year-Old Man in the Diabetic Clinic History Diagnosis ECG 2 ECG 2 Diagnosis Explanatory Slide History A 58-year-old man with no cardiac complaints is seen for a reassessment in the diabetes clinic: Diagnosis Lead placement error: Right Arm – Right Leg Reversal (this preclude the assessment of the limb leads) In the chest …
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Case 33: A 71-Year-Old Man in the CCU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 71-year-old man, who had angioplasty and stenting of the main left and anterior descending coronary arteries 10 months earlier, is admitted to the CCU with non-ST-elevation myocardial infarction. He is scheduled to undergo …
Case 66: An 89-Year-Old Man in the ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 89-year-old man with hypertension, diabetes and coronary artery disease suffered cardiac arrest at home. When the Emergency Medical Service arrived he was pulseless, but shortly afterwards there was spontaneous return of circulation. He is admitted to ICU and …
Case 67: A 64-Year-Old Man with a Slow Heart Rate History Diagnosis History A 48-year-old man recovering in hospital after repair of a dissected thoraco-abdominal aortic aneurysm is having periods of marked bradycardia but no episodes of syncope: Diagnosis Marked sinus bradycardia (sinus rate 37/min) AV dissociation, with an escape junctional rhythm, one AV capture, …
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