Eighteen year old gentleman hospitalized with intractable seizures and suspected elevated intracranial pressure.

Clinical History 300

Eighteen year old gentleman hospitalized with intractable seizures and suspected elevated intracranial pressure. The patient's serum potassium at the time of this electrocardiogram was 6.2 meq/l.
Comment on this ECG ?

Sixty-six year old gentleman with hypertrophic obstructive cardiomyopathy, severe mitral insufficiency

Clinical History 288

Sixty-six year old gentleman with hypertrophic obstructive cardiomyopathy, severe mitral insufficiency and normal coronary arteries referred for preoperative evaluation prior to planned septal myectomy and mitral valve repair.
Comment on this ECG ?

Thirty year old gentleman with dialysis requiring renal failure of unknown etiology

Clinical History 266

Thirty year old gentleman with dialysis requiring renal failure of unknown etiology who presents with leg pain and tingling, a serum calcium of 4.9 mg/dl and a serum potassium of 6.2 meq/l. Co-morbidities include hypertension and a seizure disorder.
Comment on this ECG ?

Eighty-two year old gentleman with coronary artery disease status post remote coronary artery bypass graft surgery

Clinical History 261

Eighty-two year old gentleman with coronary artery disease status post remote coronary artery bypass graft surgery and a prior myocardial infarction who is accepted in transfer from an outside hospital with signs and symptoms consistent with an acute myocardial infarction. The patient received intravenous thrombolytic therapy and at the time of this electrocardiogram was awaiting cardiac catheterization. An echocardiogram performed six years prior to this electrocardiogram demonstrated moderate regional left ventricular systolic dysfunction consistent with his prior myocardial infarction.
Comment on this ECG ?


Sixty-seven year old gentleman with laryngeal carcinoma admitted urgently

Clinical History 252

Sixty-seven year old gentleman with laryngeal carcinoma admitted urgently to the hospital with upper airway bleeding and new onset rapid atrial fibrillation.
Comment on this ECG ?

Seventy-four year old gentleman admitted for evaluation of recurrent syncope.

Clinical History 245

Seventy-four year old gentleman admitted for evaluation of recurrent syncope. His past medical history is notable for hypertrophic obstructive cardiomyopathy and coronary artery disease. He is status post angioplasty to his left anterior descending coronary artery one year priorto this tracing. He also experienced a prior myocardial infarction in the left circumflex coronary artery distribution.
Comment on this ECG ?

Forty-six year old woman admitted to the hospital with acute pneumonia and recent onset perceived rapid heart beating.

Clinical History 239

Forty-six year old woman admitted to the hospital with acute pneumonia and recent onset perceived rapid heart beating. Her pertinent past medical history includes steroid-dependent polymyositis. A cardiac catheterization performed one year before this electrocardiogram demonstrated normal coronary arteries.
Comment on this ECG ?

Fifty-nine year old woman with a history of hypertension and atrial dysrhythmias

Clinical History 192

Fifty-nine year old woman with a history of hypertension and atrial dysrhythmias who is admitted acutely to the hospital for evaluation of a cerebrovascular accident.
Comment on this ECG ?

Sixty-three year old gentleman with a history of esophageal carcinoma

Clinical History 165

Sixty-three year old gentleman with a history of esophageal carcinoma who is recently status post esophagogastrectomy. He has a history of chronic atrial fibrillation. His medications at the time of this electrocardiogram included diltiazem.furosemide, digoxin, warfarin and potassium.
Comment on this ECG ?

Seventy-four year old woman with a history of severe coronary artery obstructive disease status post coronary artery stenting

Clinical History 160

Seventy-four year old woman with a history of severe coronary artery obstructive disease status post coronary artery stenting and remote mechanical aortic valve replacement who is admitted to the hospital with signs and symptoms of congestive heart failure. Her past history includes rheumatic mitral and aortic valvular heart disease. Her medications included diltiazem, furosemide, potassium, atenolol and aspirin.
Comment on this ECG ?

Sixty-five year old gentleman admitted to the hospital for evaluation of acute renal failure

Clinical History 98

Sixty-five year old gentleman admitted to the hospital for evaluation of acute renal failure in the setting of Wegener's granulomatosis. His past medical history includes paroxysmal atrial fibrillation and hypertension. His medications included prednisone, omeprazole, cyclophosphamide, verapamil and bumetanide.
Comment on this ECG ?

Sixty-six year old woman with drug refractory paroxysmal

Clinical History 93

Sixty-six year old woman with drug refractory paroxysmal atrial fibrillation status post permanent pacemaker placement
Comment on this ECG ?

Sixty-four year old gentleman with a history of remote coronary artery bypass graft surgery

Clinical History  85

Sixty-four year old gentleman with a history of remote coronary artery bypass graft surgery who presents with recurrent angina pectoris. His past history includes transitional carcinoma of the bladder, non-insulin requiring diabetes mellitus and peptic ulcer disease. His medications included isosorbide dinitrate, diltiazem and ferrous sulfate.
Comment on this ECG ?

Seventy-two year old woman with recent onset angina pectoris accepted in hospital transfer

Clinical History 73

Seventy-two year old woman with recent onset angina pectoris accepted in hospital transfer for planned coronary artery bypass graft surgery. Her medications included glucotrol, thyroxine, omeprazole, lisinopril andfurosemide. Cardiac riskfactors include non-insulin requiring diabetes mellitus and hypertension.
Comment on this ECG ?
Copyright © ECG Cases.