Case 116: A 59-Year-Old Woman in the Emergency with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis Comparing ECG 1 vs ECG 2 History This 59-year-old woman with a history of hypertension had been complaining for the past two years of episodes of rapid regular palpitation, starting and end suddenly, associated with dyspnea and weakness. …
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Case 47: A 23-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 23-year-old man is referred because of frequent, brief episodes of rapid palpitations over the past year. The following arrythmia recurred while he was in the waiting room of the EP clinic: Diagnosis Supraventricular tachycardia, 205/min Probably AVRT or AVNRT …
Case 87: A 67-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 67-year-old woman presents to the Emergency Department with rapid regular palpitations for the past hour. She had similar episodes a few times a year since her early twenties, usually lasting from 30 minutes to 1-2 hours, and often relieved …
Case 94: A 67-Year-Old Woman with Palpitations History Diagnosis History This 67-year-old woman with history of mild stable angina for the past three years is in the Emergency Dept. with palpitation of two hours duration, associated with moderate dyspnea and mild retrosternal discomfort: Diagnosis Supraventricular tachycardia, 178/min Tachycardia terminates at end of ECG Comment: Negative …
Case 105: A 62-Year-Old Man with Palpitations History Diagnosis ECG 2 ECG Comparison History A 62-year-old presents with a ten year history of episodic fast palpitations, which he reports start and end suddenly, and are accompanied by neck pulsations and dyspnea. He reports the palpitations last one to two hours, and have previously needed to …
Case 129: A 29-Year-Old Woman with Palpitations History Diagnosis ECG 2 History This 29-year-old woman presents to the Emergency Department complaining of palpitations, presyncope, and dyspnea. She reports experiencing palpitations for the past 14 years, that have a sudden-onset, are rapid and regular, and occur twice a year. She also states that they are accompanied by chest …
Case 134: A 62-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 62-year-old woman presents to the Emergency Department with palpitations, dyspnea and weakness. These palpitations have occured once a year since she was 22, with a sudden onset, and have typically resolved with Valsalva. Recently, they had been occurring every …
Case 138: A 64-Year-Old Man with Palpitations History Diagnosis ECG 2 History This 64-year-old man presents to the Emergency Department with palpitations. He reports a five-year history of paroxysmal tachycardia starting and ending suddenly, occurring approximately once a month, lasting usually 20-30 minutes, and associated with weakness, dizziness, and neck pulsations: Diagnosis Supraventricular tachycardia: AV …
Case 69: A 25-Year-Old Woman with Episodes of Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis ECG 4 ECG 4 Diagnosis History This 25-year-old woman in the past 4 years has had 5-6 episodes of fast regular palpitation, starting and ending abruptly, lasting 45-60 minutes: Diagnosis Sinus rhythm Wolff-Parkinson-White EP studies demonstrated …
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Case 95: A 76-Year-Old Woman with Episodes of Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 76-year-old woman with hypertension and arthritis has a long history of episodes of paroxysmal palpitation, associated with dyspnea, weakness and often neck pulsation. Her medication includes digoxin and sotalol. She is in …
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