Fifty-six year old gentleman who underwent a cardiac transplant procedure
Clinical History 03
Fifty-six year old gentleman who underwent a cardiac transplant procedure six weeks priorto this electrocardiogram secondary to an idiopathic non-ischemic dilated cardiomyopathy and recurrent ventricular tachycardia. His medications at the time of this electrocardiogram included digoxin.furosemide, lisinopril, potassium and aspirin.
Comment on this ECG ?
Fifty-six year old gentleman who underwent a cardiac transplant procedure six weeks priorto this electrocardiogram secondary to an idiopathic non-ischemic dilated cardiomyopathy and recurrent ventricular tachycardia. His medications at the time of this electrocardiogram included digoxin.furosemide, lisinopril, potassium and aspirin.
Comment on this ECG ?
Seventy-four year old woman with afebrile illness. She was diagnosed with aortic valve endocarditis
Clinical History 242
Seventy-four year old woman with afebrile illness. She was diagnosed with aortic valve endocarditis and underwent recent aortic valve homograft placement.
Comment on this ECG ?
Seventy-four year old woman with afebrile illness. She was diagnosed with aortic valve endocarditis and underwent recent aortic valve homograft placement.
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 ?
Seventy-seven year old woman who presented to the hospital with a four day history of intermittent chest burning
mClinical History 186
Seventy-seven year old woman who presented to the hospital with a four day history of intermittent chest burning with radiation to the back. Subsequent serum cardiac enzyme analysis and echocardiography confirmed a recent septal myocardial infarction.
Comment on this ECG ?
Seventy-seven year old woman who presented to the hospital with a four day history of intermittent chest burning with radiation to the back. Subsequent serum cardiac enzyme analysis and echocardiography confirmed a recent septal myocardial infarction.
Comment on this ECG ?
Sixty-seven year old gentleman with a history of coronary artery disease and stable angina pectoris
Clinical History 185
Sixty-seven year old gentleman with a history of coronary artery disease and stable angina pectoris who returns for cardiology follow-up. His medications included diltiazem, gemfibrozil and aspirin. A recent stress echocardiogram was negative for inducible myocardial ischemia.
Comment on this ECG ?
Sixty-seven year old gentleman with a history of coronary artery disease and stable angina pectoris who returns for cardiology follow-up. His medications included diltiazem, gemfibrozil and aspirin. A recent stress echocardiogram was negative for inducible myocardial ischemia.
Comment on this ECG ?
Forty-seven year old woman with a history of sarcoidosis, asthma and corrected transposition
Clinical History 154
Forty-seven year old woman with a history of sarcoidosis, asthma and corrected transposition of the great vessels who returns for pulmonary medicine follow-up. Her medications included premarin and a steroid eye drop preparation.
Comment on this ECG ?
Forty-seven year old woman with a history of sarcoidosis, asthma and corrected transposition of the great vessels who returns for pulmonary medicine follow-up. Her medications included premarin and a steroid eye drop preparation.
Comment on this ECG ?
Fifty-one year old gentleman with dialysis requiring renal failure and a recent positive stress echocardiogram referred
Clinical History 138
Fifty-one year old gentleman with dialysis requiring renal failure and a recent positive stress echocardiogram referred for a cardiac catheterization. The cardiac catheterization demonstrated multi-vessel coronary artery obstructive disease. No left ventriculogram was performed secondary to the patient's history of renal failure.
Comment on this ECG ?
Fifty-one year old gentleman with dialysis requiring renal failure and a recent positive stress echocardiogram referred for a cardiac catheterization. The cardiac catheterization demonstrated multi-vessel coronary artery obstructive disease. No left ventriculogram was performed secondary to the patient's history of renal failure.
Comment on this ECG ?
Forty-five year old gentleman with a history of long-term alcohol use
Clinical History 101
Forty-five year old gentleman with a history of long-term alcohol use who was admitted to the hospital with hemoptysis. An echocardiogram demonstrated severe global left ventricular systolic dysfunction with an estimated left ventricular ejection fraction of 10%. Moderately severe mitral and tricuspid regurgitation were present. Medications at the time of this tracing included furosemide, potassium, digoxin, amiodarone, warfarin and captopril.
Comment on this ECG ?
Forty-five year old gentleman with a history of long-term alcohol use who was admitted to the hospital with hemoptysis. An echocardiogram demonstrated severe global left ventricular systolic dysfunction with an estimated left ventricular ejection fraction of 10%. Moderately severe mitral and tricuspid regurgitation were present. Medications at the time of this tracing included furosemide, potassium, digoxin, amiodarone, warfarin and captopril.
Comment on this ECG ?
Fifty-one year old gentleman with rheumatic heart disease status post aortic and mitral valve reparative surgery
Clinical History 97
Fifty-one year old gentleman with rheumatic heart disease status post aortic and mitral valve reparative surgery who represents with anemia and laboratory studies consistent with hemolysis. A repeat echocardiogram demonstrated severe aortic and mitral insufficiency and the patient was referred for repeat cardiac surgery.
Comment on this ECG ?
Fifty-one year old gentleman with rheumatic heart disease status post aortic and mitral valve reparative surgery who represents with anemia and laboratory studies consistent with hemolysis. A repeat echocardiogram demonstrated severe aortic and mitral insufficiency and the patient was referred for repeat cardiac surgery.
Comment on this ECG ?
Forty-two year old gentleman with end stage liver disease secondary
Clinical History 77
Forty-two year old gentleman with end stage liver disease secondary to chronic hepatitis C infection who presents to the hospital with an altered mental status, acute renal failure and a serum potassium level of 8.2 mEq/l.
Comment on this ECG ?
Forty-two year old gentleman with end stage liver disease secondary to chronic hepatitis C infection who presents to the hospital with an altered mental status, acute renal failure and a serum potassium level of 8.2 mEq/l.
Comment on this ECG ?
Seventy-four year old woman with acute onset’chest heaviness
Clinical History 70
Seventy-four year old woman with acute onset’ chest heaviness’ who presented to the hospital with the above electrocardiogram. A subsequent cardiac catheterization demonstrated single vessel advanced narrowing of the right coronary artery. This patient underwent successful percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
Seventy-four year old woman with acute onset’ chest heaviness’ who presented to the hospital with the above electrocardiogram. A subsequent cardiac catheterization demonstrated single vessel advanced narrowing of the right coronary artery. This patient underwent successful percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
Eighty-one year old gentleman with severe left ventricular systolic dysfunction secondary
Clinical History 53
Eighty-one year old gentleman with severe left ventricular systolic dysfunction secondary to ischemic heart disease who returns for outpatient cardiology follow-up. He is status post cardiac defibrillator placement for recurrent ventricular arrhythmias. Medications at the time of this electrocardiogram included ethmozine, mexiletine, isosorbide dinitrate, digoxin, metoprolol and enalapril.
Comment on this ECG ?
Eighty-one year old gentleman with severe left ventricular systolic dysfunction secondary to ischemic heart disease who returns for outpatient cardiology follow-up. He is status post cardiac defibrillator placement for recurrent ventricular arrhythmias. Medications at the time of this electrocardiogram included ethmozine, mexiletine, isosorbide dinitrate, digoxin, metoprolol and enalapril.
Comment on this ECG ?
Forty-seven year old gentleman who presented to an outside medical facility
Clinical History 31
Forty-seven year old gentleman who presented to an outside medical facility with an electrocardiogram consistent with an acute inferior myocardial infarction. He received urgent thrombolytic therapy and was accepted in hospital transfer for cardiac catheterization. Co-morbid conditions included long-term tobacco use and hypercholesterolemia. A cardiac catheterization demonstrated severe right coronary artery disease which was treated with percutaneous transluminal coronary angioplasty and a urokinase infusion.
Comment on this ECG ?
Forty-seven year old gentleman who presented to an outside medical facility with an electrocardiogram consistent with an acute inferior myocardial infarction. He received urgent thrombolytic therapy and was accepted in hospital transfer for cardiac catheterization. Co-morbid conditions included long-term tobacco use and hypercholesterolemia. A cardiac catheterization demonstrated severe right coronary artery disease which was treated with percutaneous transluminal coronary angioplasty and a urokinase infusion.
Comment on this ECG ?
Fifty-six year old gentleman with severe left ventricular systolic dysfunction
Clinical History 25
Fifty-six year old gentleman with severe left ventricular systolic dysfunction in the setting of normal coronary arteries who is awaiting cardiac transplantation. His medications included thyroxine, furosemide, hydralazine, isosorbide dinitrate, captopril and amiodarone.
Comment on this ECG ?
Fifty-six year old gentleman with severe left ventricular systolic dysfunction in the setting of normal coronary arteries who is awaiting cardiac transplantation. His medications included thyroxine, furosemide, hydralazine, isosorbide dinitrate, captopril and amiodarone.
Comment on this ECG ?
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.
Comment on this ECG ?
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.
Comment on this ECG ?
Seventy-six year old gentleman status post two prior coronary artery bypass operations
Clinical History 12
Seventy-six year old gentleman status post two prior coronary artery bypass operations who returns for evaluation of stable angina pectoris and hypertension. This electrocardiogram was obtained as a routine follow-up study.
Comment on this ECG ?
Seventy-six year old gentleman status post two prior coronary artery bypass operations who returns for evaluation of stable angina pectoris and hypertension. This electrocardiogram was obtained as a routine follow-up study.
Comment on this ECG ?
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