Case 22: A 61-Year-Old Man in the Nephrology Clinic History Diagnosis History This 61-year-old hypertensive man is followed in the nephrology clinic because of severe progressive renal failure: Diagnosis Sinus tachycardia, 104/min Left anterior fascicular block Intermittent (2:1) right bundle branch block (RBBB) Notice that in leads I, II and III the first 80 msec. …
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Case 40: A 50-Year-Old Man in the Cardiac Surgical Ward History Diagnosis ECG 2 ECG 2 Diagnosis History A 50-year-old man is in the cardiac surgical ward two days after bypass surgery: Diagnosis Sinus tachycardia, 115/min, with complete heart block Junctional escape rhythm, with incomplete right bundle branch block (iRBBB) pattern and nonspecific ST abnormality …
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Case 53: An 81-Year-Old Man with Chest Pain History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 81-year-old man came to the Emergency Department complaining of anterior chest pain of 4 days duration, worse when sitting up and inhaling deeply. For several months, his state of health had deteriorated, with increasing …
Case 72: A 58-Year-Old Man Recovering from Spinal Surgery History ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 58-year-old man was admitted after an accidental fall, and underwent urgent spinal surgery. This normal ECG was recorded during the pre-op assessment: ECG 2 On postoperative day 5, the patient suddeny became severely …
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Case 75: A 25-Year-Old Woman in the ICU History Diagnosis History This 25-year-old woman with chronic respiratory failure and hypoventilation secondary to kyphoscoliosis and restrictive lung disease is admitted to the Intensive Care Unit with pulmonary aspergillosis: Diagnosis Sinus tachycardia 110/min Biatrial enlargement Right axis deviation Right ventricular hypertrophy Diffuse T wave abnormality The presence …
Case 92: A 69-Year-Old Man in the CCU History Diagnosis History A 69-year-old man is in the CCU because of a myocardial infarction, that was treated successfully with angioplasty: Diagnosis Sinus tachycardia Left axis deviation – Left anterior fascicular block Nonspecific intraventricular block Acute septal infarction ECG ID: E457
Case 103: A 78-Year-Old Woman in the Endocrinology Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 78-year-old woman with a longstanding history of poorly controlled hypertension, type 2 diabetes, and left ventricular dysfunction, presents to the endocrinology clinic for follow-up, and a routine ECG is obtained: Diagnosis Sinus tachycardia, 105/min with occasional premature …
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Case 159: A 75-Year-Old Woman who had a Recent CABG History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 75-year-old woman is on the cardiac surgery ward two days after coronary artery bypass surgery: Diagnosis Atrial fibrillation with a junctional escape rhythm (rate 46/min). Consider the possibility of complete heart …
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Case 22: A 43-Year-Old Man with Muscular Dystrophy History Diagnosis History A 43-year-old man with Becker muscular dystrophy is in assisted-living state and is ventilation-dependent and on G-tube feeding: Diagnosis Sinus tachycardia, 122/min Tall R waves in V1-V3 Non-specific ST abnormality Comment: The tall R waves in the right precordial leads in muscular dystrophy are …
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Case 54: A 65-Year-Old Woman in the Medical ICU History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 History A 65-year-old schizophrenic woman, known to have obstructive lung disease, is admitted to the medical ICU with left lower lobe pneumonia and severe hypoxia: Diagnosis Sinus tachycardia, 100/min Right axis deviation Low QRS voltage ECG 2 …
