Forty-four year old woman with rheumatic heart disease status post bioprosthetic aortic

Clinical History 294

Forty-four year old woman with rheumatic heart disease status post bioprosthetic aortic and mitral valve replacements three years priorto this electrocardiogram who returns for outpatient cardiology follow-up evaluation. Co-morbidities include hypertension and a seizure disorder. Her medications included furosemide, potassium, warfarin, enalapril, carbamazepine and digoxin.
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Fifty-three year old woman admitted to the coronary intensive care unit with a two hour history of chest discomfort.

Clinical History 280

Fifty-three year old woman admitted to the coronary intensive care unit with a two hour history of chest discomfort. She has a history of hypertension, diabetes and severe peripheral vascular disease. Serial cardiac enzymes confirmed acute myocardial injury and the patient underwent a subsequent cardiac catheterization demonstrating advanced left circumflex coronary artery disease.
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Seventy-six year old woman with coronary artery disease who underwent an angioplasty

Clinical History 238

Seventy-six year old woman with coronary artery disease who underwent an angioplasty to the right coronary artery ten years prior to this tracing. She now returns for cardiology outpatient follow-up in the setting of recurrent angina pectoris. Her past medical history includes an embolic cerebral vascular accident, paroxysmal atrial fibrillation, hypertension and diabetes mellitus. Her cardiac medications included nifedipine, digoxin and sublingual nitroglycerin.
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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.
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Seventy-five year old woman with long-standing hypertension who is referred for a cardiac evaluation.

Clinical History 174

Seventy-five year old woman with long-standing hypertension who is referred for a cardiac evaluation. Her medications included amlodipine and digoxin. Her serum electrolytes were all within normal limits.
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Fifty-seven year old woman hospitalized with advanced congestive heart failure requiring intubation

Clinical History 133

Fifty-seven year old woman hospitalized with advanced congestive heart failure requiring intubation in the setting of severe aortic and mitral insufficiency. She underwent successful St. Jude mitral and aortic valve replacements. Medications at the time of this electrocardiogram included furosemide, enalapril, topical nitroglycerin, potassium and digoxin.
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Seventy-two year old woman recently status post aortic valve replacement

Clinical History 131

Seventy-two year old woman recently status post aortic valve replacement, pericardial patch closure of an atrial septal defect and ascending aorta replacement with a synthetic graft for an ascending aortic aneurysm. Her medications included digoxin, warfarin, metoprolol and amlodipine.
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Fifty-six year old gentleman with severe left ventricular systolic dysfunction

Clinical History 103

Fifty-six year old gentleman with severe left ventricular systolic dysfunction, mild coronary artery disease and a suspected nonischemic cardiomyopathy accepted in transfer from an outside hospital for management of both recurrent atrial and ventricular dysrhythmias. His medications at the time of this electrocardiogram included furosemide, captopril, potassium, digoxin and lidocaine.
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Sixty-two year old gentleman with recent symptoms of accelerating angina pectoris

Clinical History 75

Sixty-two year old gentleman with recent symptoms of accelerating angina pectoris with a subsequent cardiac catheterization demonstrating severe multi-vessel coronary artery disease. This electrocardiogram was obtained priorto anticipated near future coronary artery bypass graft surgery. His cardiac catheterization demonstrated evidence of an age indeterminate inferior myocardial infarction. Medications at the time of this electrocardiogram included metoprolol.furosemide, digoxin, topical nitroglycerin and captopril.
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Seventy-two year old gentleman with severe coronary artery disease and severe left ventricular systolic dysfunction

Clinical History 19

Seventy-two year old gentleman with severe coronary artery disease and severe left ventricular systolic dysfunction who presents for a follow-up cardiac evaluation. Co-morbid conditions include peripheral vascular disease, insulin requiring diabetes mellitus and hypertension. His medications at the time of this electrocardiogram included captopril, isosorbide mononitrate, furosemide, warfarin, topical nitroglycerin, insulin and digoxin.
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