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.
Comment on this ECG ?
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.
Comment on this ECG ?
Forty-one year old gentleman who suffered a remote inferolateral myocardial infarction
Clinical History 287
Forty-one year old gentleman who suffered a remote inferolateral myocardial infarction with recurrent angina pectoris and severe native coronary artery disease. The patient underwent recent coronary artery bypass graft surgery. This electrocardiogram represents a routine postoperative tracing.
Comment on this ECG ?
Forty-one year old gentleman who suffered a remote inferolateral myocardial infarction with recurrent angina pectoris and severe native coronary artery disease. The patient underwent recent coronary artery bypass graft surgery. This electrocardiogram represents a routine postoperative tracing.
Comment on this ECG ?
Sixty-three year old gentleman with an approximate twenty-five year history of hypertension
Clinical History 286
Sixty-three year old gentleman with an approximate twenty-five year history of hypertension who presents to the hypertension clinic forfurther evaluation. He has noticed recent dyspnea upon exertion. Medications at the time of this tracing included lisinopril.
Comment on this ECG ?
Sixty-three year old gentleman with an approximate twenty-five year history of hypertension who presents to the hypertension clinic forfurther evaluation. He has noticed recent dyspnea upon exertion. Medications at the time of this tracing included lisinopril.
Comment on this ECG ?
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.
Comment on this ECG ?
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.
Comment on this ECG ?
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.
Comment on this ECG ?
Twenty-nine year old gentleman with hypertrophic obstructive cardiomyopathy. The patient eventually underwent surgical myectomy with symptomatic
improvement.
Comment on this ECG ?
Sixty-eight year old gentleman with coronary artery disease status post coronary artery bypass graft surgery two years prior
Clinical History 273
Sixty-eight year old gentleman with coronary artery disease status post coronary artery bypass graft surgery two years prior to this electrocardiogram who re-presents for evaluation of aortic insufficiency. Medications at the time of this electrocardiogram included captopril.furosemide, potassium and aspirin.
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 ?
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 ?
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.
Comment on this ECG ?
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.
Comment on this ECG ?
Seventy year old gentleman who is recently status post bioprosthetic aortic valve replacement
Clinical History 264
Seventy year old gentleman who is recently status post bioprosthetic aortic valve replacement for severe aortic stenosis and multi-vessel coronary artery bypass graft surgery.
Comment on this ECG ?
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Seventy year old gentleman who is recently status post bioprosthetic aortic valve replacement for severe aortic stenosis and multi-vessel coronary artery bypass graft surgery.
Comment on this ECG ?
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Seventy-seven year old woman status post an acute left middle cerebral artery occlusion and urokinase administration
Clinical History 254
Seventy-seven year old woman status post an acute left middle cerebral artery occlusion and urokinase administration who is now experiencing recurrent atrial arrhythmias. Medications at the time of this electrocardiogram included diltiazem, topical nitroglycerin and isosorbide mononitrate. An echocardiogram performed during this hospitalization demonstrated moderate left atrial enlargement and normal left ventricular systolic function without evidence of a prior myocardial infarction.
Comment on this ECG ?
Seventy-seven year old woman status post an acute left middle cerebral artery occlusion and urokinase administration who is now experiencing recurrent atrial arrhythmias. Medications at the time of this electrocardiogram included diltiazem, topical nitroglycerin and isosorbide mononitrate. An echocardiogram performed during this hospitalization demonstrated moderate left atrial enlargement and normal left ventricular systolic function without evidence of a prior myocardial infarction.
Comment on this ECG ?
Seventy-six year old gentleman with two prior coronary artery bypass graft surgeries and moderate left ventricular systolic dysfunction
Clinical History 250
Seventy-six year old gentleman with two prior coronary artery bypass graft surgeries and moderate left ventricular systolic dysfunction who returns for outpatient cardiology follow-up. The patient is being seen preoperatively prior to a planned carotid endarterectomy. His co-morbid conditions include severe chronic obstructive pulmonary disease, paroxysmal atrial fibrillation and chronic renal insufficiency. His medications included prednisone, digoxin, enalapril.furosemide and warfarin.
Comment on this ECG ?
Seventy-six year old gentleman with two prior coronary artery bypass graft surgeries and moderate left ventricular systolic dysfunction who returns for outpatient cardiology follow-up. The patient is being seen preoperatively prior to a planned carotid endarterectomy. His co-morbid conditions include severe chronic obstructive pulmonary disease, paroxysmal atrial fibrillation and chronic renal insufficiency. His medications included prednisone, digoxin, enalapril.furosemide and warfarin.
Comment on this ECG ?
Seventy-three year old gentleman who is being seen in the cardiology outpatient clinic at the time
Clinical History 205
Seventy-three year old gentleman who is being seen in the cardiology outpatient clinic at the time of this electrocardiogram. His past cardiac history includes severe global left ventricular systolic dysfunction, severe mitral insufficiency and mild tricuspid insufficiency in the setting of mild coronary artery disease. Co-morbid conditions include chronic obstructive pulmonary disease and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included enalapril, digoxin, furosemide and amiodarone.
Comment on this ECG ?
Seventy-three year old gentleman who is being seen in the cardiology outpatient clinic at the time of this electrocardiogram. His past cardiac history includes severe global left ventricular systolic dysfunction, severe mitral insufficiency and mild tricuspid insufficiency in the setting of mild coronary artery disease. Co-morbid conditions include chronic obstructive pulmonary disease and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included enalapril, digoxin, furosemide and amiodarone.
Comment on this ECG ?
Seventy-four year old gentleman who presents to the outpatient clinic
Clinical History 196
Seventy-four year old gentleman who presents to the outpatient clinic with accelerating angina pectoris over the past two months. His past medical history includes coronary artery disease, hypertension and hyperlipidemia. His medications included topical nitroglycerin, amlodipine, metoprolol, digoxin and aspirin. A repeat cardiac catheterization demonstrated compromised blood flow to the left circumflex coronary artery territory.
Comment on this ECG ?
Seventy-four year old gentleman who presents to the outpatient clinic with accelerating angina pectoris over the past two months. His past medical history includes coronary artery disease, hypertension and hyperlipidemia. His medications included topical nitroglycerin, amlodipine, metoprolol, digoxin and aspirin. A repeat cardiac catheterization demonstrated compromised blood flow to the left circumflex coronary artery territory.
Comment on this ECG ?
Eighty-eight year old gentleman with a history of long-standing hypertension
Clinical History 164
Eighty-eight year old gentleman with a history of long-standing hypertension and multi-vessel coronary artery obstructive disease who is recently status post coronary artery bypass graft surgery.
Comment on this ECG ?
Eighty-eight year old gentleman with a history of long-standing hypertension and multi-vessel coronary artery obstructive disease who is recently status post coronary artery bypass graft surgery.
Comment on this ECG ?
Seventy year old gentleman status post remote coronary artery bypass graft surgery and a prior myocardial infarction,
Clinical History 152
Seventy year old gentleman status post remote coronary artery bypass graft surgery and a prior myocardial infarction, location unknown, who is now being seen preoperatively prior to anticipated knee replacement surgery. The patient is currently asymptomatic. His cardiac medications included metoprolol and aspirin.
Comment on this ECG ?
Seventy year old gentleman status post remote coronary artery bypass graft surgery and a prior myocardial infarction, location unknown, who is now being seen preoperatively prior to anticipated knee replacement surgery. The patient is currently asymptomatic. His cardiac medications included metoprolol and aspirin.
Comment on this ECG ?
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department
Clinical History 139
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department for a follow-up evaluation. He has no cardiac history and is on no cardiac medications.
Comment on this ECG ?
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department for a follow-up evaluation. He has no cardiac history and is on no cardiac medications.
Comment on this ECG ?
Fifty-two year old gentleman with advanced ischemic heart disease and severe left ventricular systolic dysfunction
Clinical History 110
Fifty-two year old gentleman with advanced ischemic heart disease and severe left ventricular systolic dysfunction who is recently postoperative coronary artery bypass graft surgery.
Comment on this ECG ?
Fifty-two year old gentleman with advanced ischemic heart disease and severe left ventricular systolic dysfunction who is recently postoperative coronary artery bypass graft surgery.
Comment on this ECG ?
Fifty-three year old woman who is being evaluated in the breast clinic
Clinical History 104
Fifty-three year old woman who is being evaluated in the breast clinic for a recently performed abnormal mammogram. She has no known cardiac conditions and is on no current medications.
Comment on this ECG ?
Fifty-three year old woman who is being evaluated in the breast clinic for a recently performed abnormal mammogram. She has no known cardiac conditions and is on no current medications.
Comment on this ECG ?
Sixty-nine year old woman accepted in hospital transfer after a recent myocardial infarction
Clinical History 83
Sixty-nine year old woman accepted in hospital transfer after a recent myocardial infarction for evaluation and treatment of postinfarction angina pectoris. A subsequent cardiac catheterization demonstrated three vessel coronary artery disease. This electrocardiogram was obtained priorto intended coronary artery bypass graft surgery. Medications at the time of this tracing included diltiazem, isosorbide mononitrate and aspirin.
Comment on this ECG ?
Sixty-nine year old woman accepted in hospital transfer after a recent myocardial infarction for evaluation and treatment of postinfarction angina pectoris. A subsequent cardiac catheterization demonstrated three vessel coronary artery disease. This electrocardiogram was obtained priorto intended coronary artery bypass graft surgery. Medications at the time of this tracing included diltiazem, isosorbide mononitrate and aspirin.
Comment on this ECG ?
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.
Comment on this ECG ?
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.
Comment on this ECG ?
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