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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Thirty-four year old woman who is status post ventricular septal defect repair

Clinical History 293

Thirty-four year old woman who is status post ventricular septal defect repair who returns for a right shoulder injury evaluation Her medications included thyroxine. A cardiac catheterization performed prior to her heart surgery was without obstructive coronary disease.
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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.
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Sixty-six year old gentleman with a long-standing history of atrial dysrhythmias

Clinical History 284

Sixty-six year old gentleman with a long-standing history of atrial dysrhythmias who is status post aortic valve replacement for endocarditis. He returns for an outpatient cardiology follow-up evaluation. Complete heart block ensued necessitating permanent pacemaker placement.
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Twenty-nine year old gentleman with hypertrophic obstructive cardiomyopathy.

Clinical History 275

Twenty-nine year old gentleman with hypertrophic obstructive cardiomyopathy. The patient eventually underwent surgical myectomy with symptomatic
improvement.
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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.
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Fifty-five year old woman with a history of hypertension who presents to her primary care physician

Clinical History 82

Fifty-five year old woman with a history of hypertension who presents to her primary care physician for a general physical exam and health assessment. Her medications included hydrochlorothiazide. There was no clinical history of a prior myocardial infarction.
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