Seventy-two year old woman with recent onset angina pectoris
Clinical History 74
Sixty-four year old gentleman who presented to the emergency room with a two week history of bilateral arm discomfort and numbness. This escalated immediately before presentation and the accompanying electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal left anterior descending coronary artery stenosis, an 80% left circumflex coronary artery stenosis and an 80% right coronary artery stenosis. Left ventriculography demonstrated antero-apical and infero-apical myocardial infarctions and overall moderate left ventricular systolic dysfunction. The patient was treated medically without further cardiac intervention.
Comment on this ECG ?
Sixty-four year old gentleman who presented to the emergency room with a two week history of bilateral arm discomfort and numbness. This escalated immediately before presentation and the accompanying electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal left anterior descending coronary artery stenosis, an 80% left circumflex coronary artery stenosis and an 80% right coronary artery stenosis. Left ventriculography demonstrated antero-apical and infero-apical myocardial infarctions and overall moderate left ventricular systolic dysfunction. The patient was treated medically without further cardiac intervention.
Fifty year old gentleman with a history of a prior anterior myocardial infarction and percutaneous transluminal coronary angioplasty
Clinical History 190
Fifty year old gentleman with a history of a prior anterior myocardial infarction and percutaneous transluminal coronary angioplasty to his left anterior descending coronary artery who re-presents with an acute chest discomfort syndrome and the accompanying electrocardiogram. Co-morbid conditions include diabetes mellitus, hypertension and chronic renal insufficiency. His medications included furosemide, metoprolol, topical nitroglycerin, hydralazine, insulin and aspirin.
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Fifty year old gentleman with a history of a prior anterior myocardial infarction and percutaneous transluminal coronary angioplasty to his left anterior descending coronary artery who re-presents with an acute chest discomfort syndrome and the accompanying electrocardiogram. Co-morbid conditions include diabetes mellitus, hypertension and chronic renal insufficiency. His medications included furosemide, metoprolol, topical nitroglycerin, hydralazine, insulin and aspirin.
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Seventy-four year old woman with coronary artery disease who presents to the hospital with a one hour history
Clinical History 180
Seventy-four year old woman with coronary artery disease who presents to the hospital with a one hour history of acute chest discomfort consistent with myocardial injury.
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Seventy-four year old woman with coronary artery disease who presents to the hospital with a one hour history of acute chest discomfort consistent with myocardial injury.
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Sixty-six year old woman who underwent persantine thallium stress testing demonstrating a large area of myocardial ischemia
Clinical History 140
Sixty-six year old woman who underwent persantine thallium stress testing demonstrating a large area of myocardial ischemia. The patient subsequently underwent an angioplasty to her left anterior descending coronary artery complicated by acute closure and infarction. This electrocardiogram was obtained at the time of the percutaneous transluminal coronary angioplasty.
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Sixty-six year old woman who underwent persantine thallium stress testing demonstrating a large area of myocardial ischemia. The patient subsequently underwent an angioplasty to her left anterior descending coronary artery complicated by acute closure and infarction. This electrocardiogram was obtained at the time of the percutaneous transluminal coronary angioplasty.
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Fifty-one year old gentleman with multiple cardiac riskfactors
Clinical History 112
Fifty-one year old gentleman with multiple cardiac riskfactors who is accepted in urgent hospital transfer. A cardiac catheterization demonstrated a 100% proximal left anterior descending coronary artery obstruction and moderate left ventricular systolic dysfunction. The patient suffered recurrent myocardial ischemia and was subsequently referred for successful coronary artery bypass graft surgery.
Comment on this ECG ?
Fifty-one year old gentleman with multiple cardiac riskfactors who is accepted in urgent hospital transfer. A cardiac catheterization demonstrated a 100% proximal left anterior descending coronary artery obstruction and moderate left ventricular systolic dysfunction. The patient suffered recurrent myocardial ischemia and was subsequently referred for successful coronary artery bypass graft surgery.
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Sixty-four year old gentleman who presented to the emergency room
Clinical History 74
Sixty-four year old gentleman who presented to the emergency room with a two week history of bilateral arm discomfort and numbness. This escalated immediately before presentation and the accompanying electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal left anterior descending coronary artery stenosis, an 80% left circumflex coronary artery stenosis and an 80% right coronary artery stenosis. Left ventriculography demonstrated antero-apical and infero-apical myocardial infarctions and overall moderate left ventricular systolic dysfunction. The patient was treated medically without further cardiac intervention.
Comment on this ECG ?
Sixty-four year old gentleman who presented to the emergency room with a two week history of bilateral arm discomfort and numbness. This escalated immediately before presentation and the accompanying electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal left anterior descending coronary artery stenosis, an 80% left circumflex coronary artery stenosis and an 80% right coronary artery stenosis. Left ventriculography demonstrated antero-apical and infero-apical myocardial infarctions and overall moderate left ventricular systolic dysfunction. The patient was treated medically without further cardiac intervention.
Comment on this ECG ?
Sixty-six year old gentleman with a several hour history of acute anterior chest discomfort
Clinical History 44
Sixty-six year old gentleman with a several hour history of acute anterior chest discomfort who received urgent intravenous thrombolytic therapy. This electrocardiogram was obtained several hours after thrombolytic administration. The patient subsequently underwent cardiac catheterization which demonstrated moderate diffuse coronary artery disease with the exception of a large second diagonal branch of the left anterior descending coronary artery which was 100% occluded with superimposed thrombus.
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Forty-three year old gentleman admitted in urgent hospital transfer after a one day history of acute chest discomfort
linical History 38
Forty-three year old gentleman admitted in urgent hospital transfer after a one day history of acute chest discomfort. The patient was taken urgently to the cardiac catheterization laboratory where a 90% mid left anterior descending coronary artery stenosis involving a second diagonal branch was present. The patient underwent successful angioplasty and stent deployment.
Comment on this ECG ?
Forty-three year old gentleman admitted in urgent hospital transfer after a one day history of acute chest discomfort. The patient was taken urgently to the cardiac catheterization laboratory where a 90% mid left anterior descending coronary artery stenosis involving a second diagonal branch was present. The patient underwent successful angioplasty and stent deployment.
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Forty-six year old gentleman with a myocardial infarction two years
Clinical History 22
Forty-six year old gentleman with a myocardial infarction two years before this electrocardiogram who presented to the emergency room with a six hour history of acute severe substernal chest discomfort. The patient underwent emergent cardiac catheterization and percutaneous transluminal coronary angioplasty of a severe proximal left anterior descending coronary artery stenosis.
Comment on this ECG ?
Forty-six year old gentleman with a myocardial infarction two years before this electrocardiogram who presented to the emergency room with a six hour history of acute severe substernal chest discomfort. The patient underwent emergent cardiac catheterization and percutaneous transluminal coronary angioplasty of a severe proximal left anterior descending coronary artery stenosis.
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