Case 22: A 72-Year-Old Man in the Cardiac Clinic History Diagnosis History A 72-year-old man is in the cardiac clinic: Diagnosis Electronic ventricular pacemaker, rate 53/min Underlying sinus rhythm with complete heart block One premature ventricular complex There are regular sinus P waves (rate 67/min), with complete AV block. There is a single chamber ventricular …
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Case 31: A 77-Year-Old Man in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History A 77-year-old man is presenting to the emergency department for episodes of severe weakness and near-syncope during the past 24 hours: Diagnosis Atrial flutter with complete heart block Escape wide QRS rhythm, with right bundle branch block pattern …
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Case 18: An 82-Year-Old Woman in the Cardiovascular ICU History Diagnosis ECG 2 ECG 2 Diagnosis History An 82-year-old woman is in the cardiac ICU after replacement of her aortic valve due to severe aortic stenosis: Diagnosis Sinus rhythm with complete heart block Escape rhythm has wide QRS with ventricular rate 66/min (likely junctional rhythm …
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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 65: A 71-Year-Old Man with Episodic Syncope History Diagnosis Telemetry Telemetry Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 71-year-old man endorses a six month history of episodic weakness and pre-syncope. In the past month, he reports losing consciousness on several occasions, with episodes lasting 10-30 seconds. He presents …
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Case 121: A 65-Year-Old Man in the Pacemaker Clinic History Diagnosis History This 65-year-old man presents to the pacemaker clinic for routine follow-up: Diagnosis Sinus rhythm with second degree AV block Mobitz II Escape paced QRS complexes (VVI pacemaker) Left axis deviation, Right bundle branch block This 65 year old patient has had diabetes for …
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Case 155: A 69-Year-Old Woman in the Emergency Department History Diagnosis ECG 2 ECG 2 Diagnosis History This 69-year-old woman was brought to the Emergency Department because of the recent onset of episodes of presyncope: Diagnosis Sinus rhythm with third degree AV block Escape wide-QRS rhythm , rate 45/min The narrow-QRS complex at the beginning …
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Case 5: A 68-Year-Old Man in the Emergency Room History Diagnosis History A 68-year-old man presents to the emergency room with palpitations. He has a previous history of hypertension and syncope with pacemaker implantation 3 years ago: Diagnosis Underlying atrial tachycardia (red arrows) – may be atrial flutter Native complexes conducted with left bundle branch …
Case 6: A 72-Year-Old Man in Pacemaker Clinic History Diagnosis History A 72-year-old man presents to pacemaker clinic for routine assessment. He complains of feeling weaker now than on his previous visit: Diagnosis Sinus rhythm with complete heart block VVI pacemaker with adequate sensing and capture Single isolated premature ventricular complex ECG ID: E781
Case 21: A 56 Year-OId Man in the Arrhythmia Clinic History Diagnosis History A 56-year-old man is in the arrhythmia clinic: Diagnosis Electronic ventricular pacemaker, VVI mode The underlying rhythm is sinus bradycardia, 50/min, with first degree AV block Paced ventricular rhythm, 66/min, with occasional fusion complexes and AV capture ECG ID: E623
