Sixty-three year old gentleman with progressive exertional angina pectoris who is referred for a cardiac catheterization.
Clinical History 299
Sixty-three year old gentleman with progressive exertional angina pectoris who is referred for a cardiac catheterization. A recent thallium stress test demonstrated an inferolateral myocardial infarction with peri-infarction myocardial ischemia. His medications included isosorbide mononitrate. A cardiac catheterization demonstrated moderately severe left ventricular systolic dysfunction and three-vessel coronary artery disease.
Comment on this ECG ?
Sixty-three year old gentleman with progressive exertional angina pectoris who is referred for a cardiac catheterization. A recent thallium stress test demonstrated an inferolateral myocardial infarction with peri-infarction myocardial ischemia. His medications included isosorbide mononitrate. A cardiac catheterization demonstrated moderately severe left ventricular systolic dysfunction and three-vessel coronary artery disease.
Comment on this ECG ?
Eighty-one year old gentleman with a history of tachycardia/bradycardia syndrome requiring permanent pacemaker implantation.
Clinical History 297
Eighty-one year old gentleman with a history of tachycardia/bradycardia syndrome requiring permanent pacemaker implantation. Co-morbidities include chronic atrial fibrillation and long-standing hypertension.
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Eighty-one year old gentleman with a history of tachycardia/bradycardia syndrome requiring permanent pacemaker implantation. Co-morbidities include chronic atrial fibrillation and long-standing hypertension.
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Sixty-nine year old gentleman status post two prior coronary artery bypass grafting procedures
Clinical History 296
Sixty-nine year old gentleman status post two prior coronary artery bypass grafting procedures, the most recent two years prior to this electrocardiogram who returns for an outpatient cardiac follow-up evaluation. His past cardiac history also includes an inferior myocardial infarction documented by echocardiography one year before this tracing.
Comment on this ECG ?
Sixty-nine year old gentleman status post two prior coronary artery bypass grafting procedures, the most recent two years prior to this electrocardiogram who returns for an outpatient cardiac follow-up evaluation. His past cardiac history also includes an inferior myocardial infarction documented by echocardiography one year before this tracing.
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Fifty-five year old gentleman who presents for cardiology clinic follow-up in the setting of a non-ischemic dilated cardiomyopathy.
Clinical History 292
Fifty-five year old gentleman who presents for cardiology clinic follow-up in the setting of a non-ischemic dilated cardiomyopathy. His past medical history includes non-insulin requiring diabetes mellitus. His medications included furosemide, lisinopril, digoxin, atenolol, quinidine, glyburide and ranitidine.
Comment on this ECG ?
Fifty-five year old gentleman who presents for cardiology clinic follow-up in the setting of a non-ischemic dilated cardiomyopathy. His past medical history includes non-insulin requiring diabetes mellitus. His medications included furosemide, lisinopril, digoxin, atenolol, quinidine, glyburide and ranitidine.
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Eighty-eight year old gentleman with severe multi-vessel coronary artery disease
Clinical History 279
Eighty-eight year old gentleman with severe multi-vessel coronary artery disease and severe left ventricular systolic dysfunction who is being evaluated for coronary artery bypass graft surgery. His medications included aspirin, digoxin, furosemide, captopril and amiodarone.
Comment on this ECG ?
Eighty-eight year old gentleman with severe multi-vessel coronary artery disease and severe left ventricular systolic dysfunction who is being evaluated for coronary artery bypass graft surgery. His medications included aspirin, digoxin, furosemide, captopril and amiodarone.
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Asymptomatic 18-year old woman with Wolff- Parkinson-White syndrome referred
Clinical History 271
Asymptomatic 18-year old woman with Wolff- Parkinson-White syndrome referred for further evaluation and possible treatment
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Asymptomatic 18-year old woman with Wolff- Parkinson-White syndrome referred for further evaluation and possible treatment
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Seventy year old gentleman with coronary artery disease and moderately severe left ventricular systolic dysfunction
Clinical History 253
Seventy year old gentleman with coronary artery disease and moderately severe left ventricular systolic dysfunction who is status post coronary artery bypass graft surgery in the remote past. He returns for cardiology and pacemaker follow-up. He also has a history of ventricular tachycardia and is status post implantable cardiac defibrillator placement. His medications at the time of this electrocardiogram included captopril, aspirin, metoprolol, furosemide, warfarin and topical nitroglycerin.
Comment on this ECG ?
Seventy year old gentleman with coronary artery disease and moderately severe left ventricular systolic dysfunction who is status post coronary artery bypass graft surgery in the remote past. He returns for cardiology and pacemaker follow-up. He also has a history of ventricular tachycardia and is status post implantable cardiac defibrillator placement. His medications at the time of this electrocardiogram included captopril, aspirin, metoprolol, furosemide, warfarin and topical nitroglycerin.
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Sixty-five year old gentleman with a nine centimeter thoraco-abdominal aortic aneurysm
Clinical History 54
Sixty-five year old gentleman with a nine centimeter thoraco-abdominal aortic aneurysm who is recently status postsurgical repair. The patient has minimal coronary artery disease as ascertained by a recent preoperative cardiac catheterization. This electrocardiogram was obtained during hemodialysis. Ventricular tachycardia developed postoperatively and soon thereafter the patient expired.
Comment on this ECG ?
Sixty-five year old gentleman with a nine centimeter thoraco-abdominal aortic aneurysm who is recently status postsurgical repair. The patient has minimal coronary artery disease as ascertained by a recent preoperative cardiac catheterization. This electrocardiogram was obtained during hemodialysis. Ventricular tachycardia developed postoperatively and soon thereafter the patient expired.
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