Case 20: A 45-Year-Old Man in the Cardiac Unit History Diagnosis History A 45-year-old man in the cardiac unit has suddenly experienced rapid palpitation, dyspnea and weakness: Diagnosis Ventricular tachycardia, rate 142/min In favour of the diagnosis of ventricular tachycardia: The clinical presentation Regular wide-QRS tachycardia AV dissociation (regular sinus P waves, rate 84/min; regular …
Case 31: A 68-Year-Old Man with Palpitation and Dyspnea History Diagnosis History This 68-year-old man with a longstanding history of coronary artery disease is brought to the Emergency Department complaining of palpitations, dyspnea and faintness: Diagnosis Ventricular tachycardia The diagnosis of ventricular tachycardia is supported by: The clinical presentation: patient with known coronary artery disease, …
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Case 32: A 79-Year-Old Man with Ischemic Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History A 79-year-old man with known ischemic cardiomyopathy has sudden onset of palpitation and severe dyspnea: Diagnosis Ventricular tachycardia, 170/min Strongly favouring the diagnosis of ventricular tachycardia: The clinical history (sudden onset of wide QRS tachycardia and severe symptoms in …
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Case 12: A 76-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 76-year-old woman with documented non-ischemic cardiomyopathy is brought to the Emergency Department with palpitation, severe dyspnea and weakness of 1 1/2 hour duration: Diagnosis Wide QRS tachycardia, 150/min Most likely VENTRICULAR TACHYCARDIA In favour of the diagnosis of …
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Case 25: A 79-Year-Old Woman in the Cardiac Surgical ICU History Diagnosis ECG 2 ECG 2 Diagnosis History A 79-year-old woman is in the cardiac surgical ICU 6 hours after a 3-vessel aorto-coronary bypass operation: Diagnosis Ventricular tachycardia, rate 170/min ECG criteria for VT: Wide QRS tachycardia (QRS duration 200 msec) Positive concordance (broad R waves …
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Case 44: A 44-Year-Old Woman with Cardiomyopathy History Diagnosis History A 44-year-old woman with familial dilated cardiomyopathy is in the Emergency Department with palpitation and severe dyspnea of one hour duration: Diagnosis Ventricular tachycardia, 156/min ECG findings in favour of the diagnosis of VT: Wide QRS tachycardia with QRS duration >140 msec. AV dissociation RBBB …
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Case 74: A 75-Year-Old Man in Cardiogenic Shock History Diagnosis History A 75-year-old man, hypotensive following an acute myocardial infarction, has developed tachycardia and a further drop in blood pressure: Diagnosis Ventricular tachycardia, rate 312/min This pattern of VT is often referred to as “ventricular flutter”: regular continuous wide sine waves, with no distinction between …
Case 75: A 63-Year-Old Woman in the Intensive Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History A 63-year-old woman with a history of alcoholic cirrhosis and chronic obstructive lung disease is admitted to the ICU with severe pneumonia and sepsis with sudden onset of tachycardia and hypotension: Diagnosis Wide QRS tachycardia – Ventricular tachycardia Left bundle branch …
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Case 78: A 66-Year-Old Woman with Palpitation and Faintness History Diagnosis ECG 2 ECG 2 Diagnosis History A 66-year-old woman with a history significant for heavy smoking and chronic alcohol use and dyspnea on mild exertion for the past 3 years is presenting to the Emergency Department with palpitation, faintness and dyspnea of 1 hour …
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Case 112: A 68-Year-Old Man in the CCU History Diagnosis ECG 2 ECG 2 Diagnosis History A 68-year-old man is admitted to the coronary care unit with severe anterior chest pain: Diagnosis Sinus rhythm Right bundle branch block Acute anterior myocardial infarction Lateral injury pattern ECG 2 1 hours after admission an arrhythmia occurred, associated …
