Case 47: A 51-Year-Old Man in the Cardiac Clinic History Diagnosis ECG 2 ECG 2 Diagnosis History This 51-year-old truck driver experienced 1-2 episodes a year of rapid palpitation since his twenties. 1 years ago he suffered from a myocardial infarction and was treated with angioplasty and stenting of his right coronary artery. He had …
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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 76: A 38-Year-Old Man with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 38-year-old male computer analyst is presenting at the Emergency Department complaining of palpitation and feeling lightheaded. He had experienced 3 similar episodes in the past 5 years for which he was given Adenosine IV …
Case 77: A 30-Year-Old Man with Non-specific Symptoms History Diagnosis History This 30-year-old factory worker is referred because of numerous nonspecific symptoms (dyspnea on exertion, rapid palpitation of gradual onset and offset, lightheadedness, sharp localized precordial pain). The ECG is abnormal, and there are no evidence of structural heart disease by echocardiography: Diagnosis Sinus Rhythm …
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Case 78: A 35-Year-Old Machine Operator with Palpitation History Diagnosis History This 35-year-old machine operator started complaining one year ago of episodes of rapid “thumping” in his precordium every 2-3 months lasting 10-20 minutes: Diagnosis Sinus rhythm with sinus arrhythmia Wolff-Parkinson-White (WPW) Anteroseptal Accessory pathway Comment: An anteroseptal bypass tract was identified by EP studies. ECG …
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Case 109: A 24-Year-Old Man with Palpitation History Diagnosis ECG 2 ECG 2 Diagnosis ECG 3 ECG 3 Diagnosis History This 24-year-old man was in a nightclub. He had one drink and one joint of marijuana and shortly afterward developed severe palpitations, dyspnea and faintness. During the previous 6 months he had experienced palpitations 2-3 …
