Fifty-four year old woman with a history of metastatic malignant melanoma
Clinical History 04
Fifty-four year old woman with a history of metastatic malignant melanoma who is being evaluated for a subsequent course of chemotherapy. Her past cardiac history includes an angioplasty to the left circumflex coronary artery eight years prior to this tracing. She is currently asymptomatic. Her cardiac medications included diltiazem and aspirin.
Comment on this ECG ?
Fifty-four year old woman with a history of metastatic malignant melanoma who is being evaluated for a subsequent course of chemotherapy. Her past cardiac history includes an angioplasty to the left circumflex coronary artery eight years prior to this tracing. She is currently asymptomatic. Her cardiac medications included diltiazem and aspirin.
Comment on this ECG ?
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.
Comment on this ECG ?
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.
Comment on this ECG ?
Sixty-six year old gentleman who presented with an acute chest discomfort syndrome.
Clinical History 220
Sixty-six year old gentleman who presented with an acute chest discomfort syndrome. Serial cardiac enzymes documented a non-0 wave myocardial infarction. Subsequently coronary arteriography was performed demonstrating a severe obstruction in the left circumflex coronary artery. This was followed by successful coronary artery stent placement. Medications at the time of this electrocardiogram included ticlodipine, intravenous heparin, nebulized inhalers and aspirin.
Comment on this ECG ?
Sixty-six year old gentleman who presented with an acute chest discomfort syndrome. Serial cardiac enzymes documented a non-0 wave myocardial infarction. Subsequently coronary arteriography was performed demonstrating a severe obstruction in the left circumflex coronary artery. This was followed by successful coronary artery stent placement. Medications at the time of this electrocardiogram included ticlodipine, intravenous heparin, nebulized inhalers and aspirin.
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 year old woman admitted to the hospital with a severe upper respiratory tract infection
Clinical History 170
Eighty year old woman admitted to the hospital with a severe upper respiratory tract infection. She is on no current medications and has no prior cardiac history.
Comment on this ECG ?
Eighty year old woman admitted to the hospital with a severe upper respiratory tract infection. She is on no current medications and has no prior cardiac history.
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-two year old woman with a history of insulin requiring diabetes mellitus
Clinical History 144
Seventy-two year old woman with a history of insulin requiring diabetes mellitus who is accepted in hospital transfer with the suspected diagnosis of status epilepticus. The patient was diagnosed with a metabolic encephalopathy. Her neurological status failed to improve and she subsequently expired.
Comment on this ECG ?
Seventy-two year old woman with a history of insulin requiring diabetes mellitus who is accepted in hospital transfer with the suspected diagnosis of status epilepticus. The patient was diagnosed with a metabolic encephalopathy. Her neurological status failed to improve and she subsequently expired.
Comment on this ECG ?
Sixty-one year old gentleman with insulin requiring diabetes mellitus
Clinical History 134
Sixty-one year old gentleman with insulin requiring diabetes mellitus who presented to the hospital with a 24 hour history of fatigue, chills and weakness. A subsequent evaluation included positive blood cultures for a gram negative organism.
Comment on this ECG ?
Sixty-one year old gentleman with insulin requiring diabetes mellitus who presented to the hospital with a 24 hour history of fatigue, chills and weakness. A subsequent evaluation included positive blood cultures for a gram negative organism.
Comment on this ECG ?
Seventy-three year old gentleman admitted acutely to the hospital with profound shortness
Clinical History 109
Seventy-three year old gentleman admitted acutely to the hospital with profound shortness of breath and a blood pressure of 215/130. The patient was intubated. His past medical history includes an abdominal aortic aneurysm, hypertension and chronic obstructive pulmonary disease. Medications at the time of this electrocardiogram included minoxidil, isosorbide mononitrate, furosemide and inhalers.
Comment on this ECG ?
Seventy-three year old gentleman admitted acutely to the hospital with profound shortness of breath and a blood pressure of 215/130. The patient was intubated. His past medical history includes an abdominal aortic aneurysm, hypertension and chronic obstructive pulmonary disease. Medications at the time of this electrocardiogram included minoxidil, isosorbide mononitrate, furosemide and inhalers.
Comment on this ECG ?
Thirty-four year old woman with a persistent ectopic atrial rhythm felt
Clinical History 92
Thirty-four year old woman with a persistent ectopic atrial rhythm felt to represent a supraventricular tachyarrhythmia who is being seen in the outpatient cardiology clinic priorto planned sinus node radiofrequency ablation. Her medications included verapamil.
Comment on this ECG ?
Thirty-four year old woman with a persistent ectopic atrial rhythm felt to represent a supraventricular tachyarrhythmia who is being seen in the outpatient cardiology clinic priorto planned sinus node radiofrequency ablation. Her medications included verapamil.
Comment on this ECG ?
Eighty-one year old woman with a chest discomfort syndrome often years duration accepted
Clinical History 40
Eighty-one year old woman with a chest discomfort syndrome often years duration accepted in transfer from an outside hospital. Further evaluation confirmed the presence of unstable angina and the patient subsequently underwent cardiac catheterization and percutaneous transluminal coronary angioplasty to the left anterior descending coronary artery. Medications at the time of her hospital transfer included triamterene/ hydrochlorothiazide, metoprolol and ibuprofen.
Comment on this ECG ?
Eighty-one year old woman with a chest discomfort syndrome often years duration accepted in transfer from an outside hospital. Further evaluation confirmed the presence of unstable angina and the patient subsequently underwent cardiac catheterization and percutaneous transluminal coronary angioplasty to the left anterior descending coronary artery. Medications at the time of her hospital transfer included triamterene/ hydrochlorothiazide, metoprolol and ibuprofen.
Comment on this ECG ?
Sixty-one year old gentleman with ischemic heart disease
Clinical History 36
Sixty-one year old gentleman with ischemic heart disease, severe left ventricular systolic dysfunction and prior coronary artery bypass graft surgery who presents for cardiology clinic follow-up. Co-morbid conditions include severe peripheral vascular disease and hyperlipidemia. His medications included warfarin, lisinopril, digoxin and furosemide.
Comment on this ECG ?
Sixty-one year old gentleman with ischemic heart disease, severe left ventricular systolic dysfunction and prior coronary artery bypass graft surgery who presents for cardiology clinic follow-up. Co-morbid conditions include severe peripheral vascular disease and hyperlipidemia. His medications included warfarin, lisinopril, digoxin and furosemide.
Comment on this ECG ?
Seventy-two year old woman with advanced emphysema referred
Clinical History 14
Seventy-two year old woman with advanced emphysema referred for possible lung reduction surgery. An echocardiogram performed three years prior to this electrocardiogram demonstrated normal left ventricular systolic function. By history there was no evidence of a prior myocardial infarction. Medications at the time of this electrocardiogram included theophylline and inhaled bronchodilators.
Comment on this ECG ?
Seventy-two year old woman with advanced emphysema referred for possible lung reduction surgery. An echocardiogram performed three years prior to this electrocardiogram demonstrated normal left ventricular systolic function. By history there was no evidence of a prior myocardial infarction. Medications at the time of this electrocardiogram included theophylline and inhaled bronchodilators.
Comment on this ECG ?
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