Forty-five year old woman with valvular heart disease who is recently status post mitral valve reparative surgery

Clinical History 169

Forty-five year old woman with valvular heart disease who is recently status post mitral valve reparative surgery for mitral insufficiency and a septal myectomy for hypertrophic obstructive cardiomyopathy. Her medications included metoprolol, furosemide, warfarin and atorvastatin.
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Twenty-six year old gentleman with severe rheumatic aortic insufficiency seen in preoperative cardiac evaluation prior

Clinical History 141

Twenty-six year old gentleman with severe rheumatic aortic insufficiency seen in preoperative cardiac evaluation prior to anticipated aortic valve replacement. A recent echocardiogram demonstrated severe aortic insufficiency, a dilated left ventricle with mildly reduced left ventricular systolic function and left ventricular hypertrophy.
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Seventy-four year old gentleman with hypertropahic obstructive cardiomyopathy

Clinical History 117

Seventy-four year old gentleman with hypertrophic obstructive cardiomyopathy who is being seen in follow- up in the psychiatry department for chronic depression. His cardiac medications included verapamil and atenolol.
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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.
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Forty-seven year old woman with dialysis requiring renal failure secondary to long-standing hypertension

Clinical History 87

Forty-seven year old woman with dialysis requiring renal failure secondary to long-standing hypertension who presented to the hospital with recent onset shortness of breath. At the time of this electrocardiogram her serum calcium was 7.2 mg/dl and her serum potassium was 6.4 meq/L
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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.
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Twenty-nine year old gentleman referred for aortic valve surgery

Clinical History 30

Twenty-nine year old gentleman referred for aortic valve surgery in the setting of severe aortic insufficiency secondary to aortic valve prolapse. He is on no current medications. Transesophageal echocardiography demonstrated a bicuspid aortic valve. The patient subsequently underwent successful aortic valve repair.
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