Case 165: A 65 Year-Old Woman Presents to ER with Syncope History Diagnosis ECG 2 ECG 2 Diagnosis History A 61 year-old woman presents to the ER with syncope. She is brought to ER via EMS and is awake but hypotensive and tachycardic. She has a background history of hypertension, active smoking, type 2 diabetes, …
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Case 3: A 43 Year-Old Man with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History A 43-year-old man with episodes of rapid palpitation occurring every few weeks, often caused by exercise and accompanied by dyspnea and weakness that usually subsides spontaneously after 15-20 minutes is presenting to the emergency department one hour after …
Case 8: A 32-Year-Old Woman with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History A 32-year-old woman with a long-standing history of palpitation varying from moderately rapid and regular to “a few thumps” in the precordium has the following ECG recorded during a typical episode of rapid palpitation: Diagnosis Ventricular tachycardia, 115/min. The QRS …
Case 23: A 36-Year-Old Man in the ER with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History This 36-year-old man is presenting to the Emergency Department with palpitation, anterior chest discomfort, dyspnea and presyncope. The symptoms had started 45 min earlier. During the previous 4 weeks he had experienced 2 similar episodes that had terminated …
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Case 29: A 48-Year-Old Man in the ER with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 48-year-old man has had frequent episodes of rapid palpitation since childhood, lasting 10-15 minutes, not associated with chest pain, dyspnea or faintness. He was investigated in a pediatric hospital and treated …
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Case 60: A 58-Year-Old Man with Unstable Angina History Diagnosis ECG 2 ECG 2 Diagnosis History A 58-year-old man is admitted with unstable angina. Chest pain continued to occur despite maximal therapy. A few hours before his scheduled aorto-coronary bypass surgery, the patient developed palpitation, dyspnea and angina: Diagnosis Ventricular tachycardia, 126/min Capture and fusion …
Case 61: A 63-Year-Old Woman with Dilated Cardiomyopathy History Diagnosis ECG 2 ECG 2 Diagnosis History This 63-year-old woman, known for the past 5 years to have a dilated cardiomyopathy of unknown etiology, is brought to the Emergency Department, complaining of sudden onset of rapid palpitation and dyspnea: Diagnosis Ventricular tachycardia with 2:1 retrograde ventriculo-atrial …
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Case 62: A 53-Year-Old man with Palpitation and Faintness History Diagnosis ECG 2 ECG 2 Diagnosis History This 53-year-old man was at a party when he suddenly experienced weakness, faintness and rapid palpitation. He had been well and normally active. He denies excessive alcohol intake: Diagnosis Wide QRS tachycardia (rate 163/min, QRS duration 144 msec) …
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Case 87: A 59-Year-Old Woman in the CCU with Palpitation History Diagnosis History This 59-year-old woman with known dilated cardiomyopathy and history of tachyarrhythmias has suddenly developed severe palpitation and dyspnea: Diagnosis Ventricular tachycardia, rate 128/min There is evidence of AV dissociation The atrial rhythm is atrial tachycardia, rate 180/min Comment: Further investigation of this patient …
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Case 90: A 45 Year-Old Man in the ER with Palpitations History Diagnosis ECG 2 ECG 2 Diagnosis History During the past year this 45 year old man has experienced paroxysmal palpitations of increasing frequency and duration, associated with dyspnea and weakness. When free of palpitation he has been in good state of heath and normally …
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