Case 27: A 59-Year-Old Man in the Emergency Department History Diagnosis History This 59-year-old man was brought to the Emergency Department after an episode of sudden syncope lasting three minutes while at work. On arrival, he had no complaints. His vitals and neurological examination were normal. He reports two occasions during the past three months where …
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Case 35: A 66-Year-Old Man in the Emergency Department History Diagnosis History A 66-year-old man is in the Emergency Department: Diagnosis Sinus bradycardia with marked sinus arrhythmia – Ventricular rate 56/min Occasional junctional escape complexes Incomplete right bundle branch block (iRBBB) alternating with complete right bundle branch block (rate-related aberrancy) ECG ID: E528
Case 39: A 63-Year-Old Man with Recent Episode of Chest Pain History Diagnosis History This 63-year-old man had been well and very active until 6 weeks ago, when he started experiencing occasional episodes of anterior chest pain during exertion, relieved by rest. About 10 days later he awoke with severe pain across his anterior chest, …
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Case 53: A 57-Year-Old Woman in the Emergency Room History Diagnosis History This 57-year-old diabetic hypertensive woman, with end-stage renal failure on hemodialysis, is seen in the Emergency Department with fever (38.6 C), nausea, weakness and diarrhea. Her medication includes Atenolol 100 mg daily: Diagnosis Marked sinus bradycardia (30/min) with junctional escape complexes (escape-capture bigeminy). …
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Case 88: A 79-Year-Old Man in the Cardiac Surgical ICU History Diagnosis History This 79-year-old man who had severe aortic stenosis is in the cardiac surgery ward 6 hours after successful aortic valve replacement: Diagnosis Marked sinus bradycardia with an escape junctional pacemaker Ventricular rate 47/min Non-specific T wave abnormality ECG ID: E773
Case 101: A 52-Year-Old Man Seen in Cardiac Clinic History Diagnosis History This 52-year-old man with history of hypertension and episodes of paroxysmal atrial fibrillation is seen in the cardiac clinic for follow-up assessment: Diagnosis Sinus bradycardia with sinus arrhythmia – Atrial rate 48, min AV dissociation, with junctional escape rhythm and occasional AV capture …
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Case 102: A 61-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 62-year-old woman is in the cardiac ICU following aortic valve replacement because of aortic stenosis: Diagnosis AV Dissociation Marked sinus bradycardia with sinus arrhythmia and a ventricular escape rhythm, 43/min. One …
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Case 117: A 17 Year-Old Woman with an Abnormal ECG History Diagnosis History A 17 year old woman is admitted to the psychiatry service. Prior to starting medications, a routine ECG is performed and shown below: Diagnosis Marked sinus bradycardia (P-waves noted with “P”) Junctional Escape Rhythm Intermittent Capture beats (3rd complex) Comment: The p-waves …
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Case 122: A 77 Year-Old Woman in the Emergency Room with Dizziness History Diagnosis History A 77 year-old woman is seen in the emergency room with several days of dizziness. Her ECG recorded in the emergency room is shown below: Diagnosis Ectopic Atrial Bradycardia, 37/min AV Dissociation with Junctional Escape, 43/min Conducted P-waves have 1st …
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