Case 67: A 65-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 65-year-old man presents to the Emergency Department with severe anterior chest pain lasting one hour. He reports having experienced infrequent mild stable angina over the past two years: Diagnosis Sinus rhythm, 60/min Left …
Case 79: A 65-Year-Old Woman in the Cardiac Clinic History Diagnosis History This 65-year-old woman with an eight-year history of coronary artery disease presents to the cardiac clinic for her annual assessment. She had an aortocoronary bypass surgery five years ago, and is free of angina. Her echocardiogram shows diffuse LV hypokinesis, with an ejection …
Case 79: A 65-Year-Old Woman in the Cardiac Clinic Read More »
Case 102: A 32-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 32-year-old man with several risk factors for coronary artery disease (family history, hyperlipidemia, and smoking) is seen in the Emergency Department one hour after the onset of severe retrosternal pain radiating to the …
Case 122: A 64-Year-Old Man Recovering from AAA Repair History Diagnosis History This 64-year-old man is in hospital, recovering from a repair of a thoraco-abdominal aortic aneurysm: Diagnosis Marked sinus bradycardia, 38/min AV dissociation due an junctional escape rhythm (ventricular rate 43/min) One AV capture. Non-specific T wave abnormality This is an example of AV …
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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 137: A 68-Year-Old Man after Bypass Surgery History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History A 68-year-old man with severe angina underwent bypass surgery to the left anterior descending and circumflex arteries. The following ECG was recorded shortly after the operation, upon transfer to the ICU: Diagnosis Sinus bradycardia, 54/min Inferior infarct, …
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Case 144: A 55-Year-Old Woman in the Neurosurgery ICU History Diagnosis History This 55-year-old woman had surgery two day ago for the removal of a left temporal lobe tumor. Postoperatively, her heart rate was noted to be slow: Diagnosis Marked sinus bradycardia (38/min) with sinus arrhythmia Escape junctional bradycardia with isorhythmic AV dissociation There is …
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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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Case 165: A 65 Year-Old Woman Presents to ER with Syncope History Diagnosis ECG 2 ECG 2 Diagnosis History A 61 year-old woman presents to the ER with syncope. She is brought to ER via EMS and is awake but hypotensive and tachycardic. She has a background history of hypertension, active smoking, type 2 diabetes, …
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Case 20: A 53-Year-Old Woman with Episodes of Severe Faintness History Diagnosis ECG 2 ECG 2 Diagnosis History This 53-year-old woman is admitted to the neurology ward following an acute visual field loss. She gave a history of several episodes of near-syncope in the past year. This ECG is recorded: Diagnosis Marked sinus bradycardia (sinus …
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