Case 119: A 60-Year-Old Man in the CCU History Diagnosis History A 60-year-old man with known coronary artery disease is admitted to the CCU with unstable angina. On the way to the hospital he had 2 episodes of paroxysmal palpitation of 5-10 minutes duration, associated with severe dyspnea and lightheadedness. Palpitation recurred shortly after admission, …
Case 120: A 34-Year-Old Man with Severe Vomiting History Diagnosis ECG 2 ECG 2 Diagnosis History A 34-year-old man is admitted because of severe vomiting following prolonged heavy alcohol intake: Diagnosis Sinus rhythm, 86/min Prolonged Q-TU Tall U waves Findings compatible with hypokalemia This patient had been suffering from frequent episodes of severe vomiting. When …
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Case 12: A 49-Year-Old Man in the Surgical ICU History Diagnosis History A 49-year-old man is in the surgical ICU, 6 hours after aorto-coronary bypass: Diagnosis Ventricular tachycardia, 130/min Comment: In favour of ventricular tachycardia are the wide QRS rhythm (120 msec QRS duration) with evidence of AV dissociation. The right bundle branch with right inferior axis …
Case 19: A 45-Year-Old Man in the Cardiac Ward History Diagnosis ECG 2 ECG 2 Diagnosis History This 45-year-old man was diagnosed two years ago with dilated cardiomyopathy of unknown etiology. He was symptom-free until three weeks ago when he started complaining of frequent palpitations associated with weakness and occasional near-syncope. He has been admitted …
Case 32: A 67-Year-Old Man in the Cardiac Ward History Diagnosis History This 67-year-old man with a long history of coronary artery disease is admitted to the cardiac ward for investigation of frequent angina: Diagnosis Atrial fibrillation with frequent premature ventricular complexes (PVCs) Onset of ventricular tachycardia (rate 145/min) – One fusion complex. Ventricular rate …
Case 55: A 63-Year-Old Man in the Cath Lab History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 63-year-old man presents to the cardiac catherization lab six days after an acute myocardial infarction. His symptoms initially had improved with fibrinolysis, however he had recurrent chest pain after 24 hours, and …
Case 56: An 81-Year-Old Woman in the Post-Anaesthetic Care Unit History Diagnosis ECG 2 ECG 2 Diagnosis History This 81-year-old woman just underwent surgery for small bowel obstruction. 15 years ago, she suffered from a myocardial infarction, requiring a 2-vessel aorto-coronary bypass. She is presently in the post-anaesthetic care unit, and has developped the following arrhythmia: …
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Case 116: A 56-Year-Old Man with Recurrent Tachycardia History Diagnosis ECG 2 History 56 year old man with a 10 year history of coronary artery disease. During the past year, frequent episodes of palpitation lasting from minutes to several hours. This ECG was recorded in the emergency department during one of these episodes: Diagnosis Ventricular …
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Case 117: An 88-Year-Old Man with Congestive Heart Failure History Diagnosis ECG 2 ECG 2 Diagnosis History This 88-year-old man with a history of hypertension and diabetes was admitted to hospital for treatment of congestive heart failure. He had been on sotalol 80 mg po bid for the past year due to previous episodes of …
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Case 148: An 86-Year-Old Woman in the ICU History Diagnosis History This 86-year-old woman was transferred from her nursing home with severe diarrhea post amoxicillin therapy. On the day after admission, she became hypotensive and the following ECG was recorded: Diagnosis Ventricular tachycardia – ventricular rate 110/min In the 10 second rhythm strip of V1, …
