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 148: A 79 Year-Old Woman in Hospital with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 79 year-old woman is admitted to hospital with palpitations. Because of a previous history of atrial fibrillation, she had been started on a combination of flecainide and bisoprolol. She presented to …
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Case 4: A 44-Year-Old Man in the Cardiac Clinic History Diagnosis History This 46-year-old man is discovered to have a cardiomyopathy 3 years ago when he applied for life insurance. He remains moderately active and cycles frequently without discomfort: Diagnosis Marked sinus bradycardia, 41/min Left ventricular hypertrophy with QRS widening and repolarizarion abnormality Marked ST …
Case 6: An 80-Year-Old Man in the Cardiac Surgery Ward History Diagnosis History This 80-year-old man, with a history of severe aortic stenosis, is in the cardiac surgery ward 6 hours after a successful aortic valve replacement: Diagnosis Marked sinus bradycardia with a junctional escape pacemaker Ventricular rate 47/min Non-specific T wave abnormality ECG ID: …
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Case 24: A 23-Year-Old Man who Collapsed History Diagnosis ECG 2 ECG 2 Diagnosis History This 23-year-old man had an out-of-hospital cardiac arrest one hour after playing hockey. He was successfully resuscitated.This ECG was recorded 2 weeks later, when he was transferred to a tertiary care cardiac center: Diagnosis Sinus bradycardia, 58/min, with interpolated premature ventricular …
Case 33: A 60-Year-Old Woman who Fainted History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 60-year-old woman is sent to the Emergency Dept. by her family physician, who had seen her after an episode of sudden-onset syncope, lasting several minutes. She reports a one month history of brief episodes …
Case 34: A 38-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 38-year-old man with diabetes presents to the Emergency Department with severe chest pain: Diagnosis Sinus rhythm, 61/min Acute inferior-posterior myocardial infarction ECG 2 The patient receives therapy with IV fibrinolytics and is transferred to the CCU. This …
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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 44: A 73-Year-Old Man Presenting for Follow-Up History Diagnosis ECG 2 ECG 2 Diagnosis Diagram History This 73-year-old man with known dilated cardiomyopathy is in the cardiac clinic for a routine reassessment: Diagnosis Suspect lead placement error: left arm-right leg lead reversal Sinus rhythm 60/min, with one premature atrial complex Possible non-specific intraventricular block …
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Case 51: A 73-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis History This 73-year-old man with a long history of coronary artery disease and severe left ventricular dysfunction is in the cardiac clinic for a follow-up assessment: Diagnosis Sinus bradycardia, 53/min Left atrial enlargement Left axis deviation Left bundle branch block When we review this ECG, …
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