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.
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Seventy-three year old gentleman with a history of pneumonia two years prior to this electrocardiogram

Clinical History 295

Seventy-three year old gentleman with a history of pneumonia two years prior to this electrocardiogram who was admitted for a recurrent pleural effusion and an empyema. His medications included digoxin. His past medical history includes paroxysmal atrial fibrillation and long-standing tobacco use.
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Eighty year old gentleman with coronary artery disease and severe left ventricular systolic dysfunction admitted

Clinical History 290

Eighty year old gentleman with coronary artery disease and severe left ventricular systolic dysfunction admitted for evaluation of sustained ventricular dysrhythmias. His past history includes chronic renal insufficiency, congestive heart failure and severe mitral insufficiency. His medications included amiodarone.furosemide and digoxin.
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23 year old gentleman with surgically unrepaired Tetralogy of Fallot including a right ventricular outflow tract obstruction

Clinical History 265

23 year old gentleman with surgically unrepaired Tetralogy of Fallot including a right ventricular outflow tract obstruction and a large ventricular septal defect with bi-directional shunting. He is admitted for evaluation and treatment of acute pulmonic valve endocarditis.
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Forty-four year old woman with a several hour history of rapid heart beating1

Clinical History 129

Forty-four year old woman with a several hour history of'rapid heart beating1 and mild shortness of breath. Her past medical history includes hypertension. Her medications included lisinopril. The patient received intravenous adenosine which promptly converted this dysrhythmia to normal sinus rhythm.
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