Seventy-seven year old gentleman with moderate left ventricular systolic dysfunction status
Clinical History 240
Seventy-seven year old gentleman with moderate left ventricular systolic dysfunction status post two coronary artery bypass grafting procedures admitted to the hospital with recurrent congestive heart failure and newly discovered atrial flutter.
Comment on this ECG ?
Seventy-seven year old gentleman with moderate left ventricular systolic dysfunction status post two coronary artery bypass grafting procedures admitted to the hospital with recurrent congestive heart failure and newly discovered atrial flutter.
Comment on this ECG ?
Fifty-three year old woman seen in preoperative anesthesia clearance priorto elective cosmetic surgery.
Clinical History 216
Fifty-three year old woman seen in preoperative anesthesia clearance priorto elective cosmetic surgery. She is currently healthy. Her medications include estrogen replacement. She has no cardiac history.
Comment on this ECG ?
Fifty-three year old woman seen in preoperative anesthesia clearance priorto elective cosmetic surgery. She is currently healthy. Her medications include estrogen replacement. She has no cardiac history.
Comment on this ECG ?
Thirty-two year old gentleman with coronary artery disease who returns for a six month follow-up examination.
Clinical History 213
Thirty-two year old gentleman with coronary artery disease who returns for a six month follow-up examination. A cardiac catheterization performed at the time of this electrocardiogram demonstrated severe coronary artery disease, moderate left ventricular systolic dysfunction and evidence of prior inferior and anterior myocardial infarctions. Medications at the time of this electrocardiogram included isosorbide dinitrate, diltiazem, captopril and aspirin.
Comment on this ECG ?
Thirty-two year old gentleman with coronary artery disease who returns for a six month follow-up examination. A cardiac catheterization performed at the time of this electrocardiogram demonstrated severe coronary artery disease, moderate left ventricular systolic dysfunction and evidence of prior inferior and anterior myocardial infarctions. Medications at the time of this electrocardiogram included isosorbide dinitrate, diltiazem, captopril and aspirin.
Comment on this ECG ?
Sixty-eight year old gentleman status post recent coronary artery bypass graft surgery who returns
Clinical History 211
Sixty-eight year old gentleman status post recent coronary artery bypass graft surgery who returns for postoperative cardiac follow-up. His past cardiac history includes an anterior myocardial infarction one year prior to this electrocardiogram followed by a percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery. His medications at the time of this tracing included metformin, diltiazem, procainamide, metoprolol and simvastatin.
Comment on this ECG ?
Sixty-eight year old gentleman status post recent coronary artery bypass graft surgery who returns for postoperative cardiac follow-up. His past cardiac history includes an anterior myocardial infarction one year prior to this electrocardiogram followed by a percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery. His medications at the time of this tracing included metformin, diltiazem, procainamide, metoprolol and simvastatin.
Comment on this ECG ?
Forty-seven year old gentleman with coronary artery disease status post an inferior myocardial infarction
Clinical History 191
Forty-seven year old gentleman with coronary artery disease status post an inferior myocardial infarction two years priorto this electrocardiogram. He subsequently underwent four-vessel coronary artery bypass graft surgery. He is now admitted to the hospital for evaluation of recent onset non-sustained ventricular tachycardia.
Comment on this ECG ?
Forty-seven year old gentleman with coronary artery disease status post an inferior myocardial infarction two years priorto this electrocardiogram. He subsequently underwent four-vessel coronary artery bypass graft surgery. He is now admitted to the hospital for evaluation of recent onset non-sustained ventricular tachycardia.
Comment on this ECG ?
Sixty-eight year old gentleman with recent onset angina pectoris
Clinical History 150
Sixty-eight year old gentleman with recent onset angina pectoris whose cardiac catheterization demonstrated severe coronary artery obstructive disease. This electrocardiogram was obtained shortly after coronary artery bypass graft surgery.
Comment on this ECG ?
Sixty-eight year old gentleman with recent onset angina pectoris whose cardiac catheterization demonstrated severe coronary artery obstructive disease. This electrocardiogram was obtained shortly after coronary artery bypass graft surgery.
Comment on this ECG ?
Forty-four year old gentleman with severe peripheral vascular disease admitted for lower extremity revascularization surgery
Clinical History 143
Forty-four year old gentleman with severe peripheral vascular disease admitted for lower extremity revascularization surgery. He has known coronary artery disease and is status post a myocardial infarction in the remote past, location unknown. His medications included insulin, carbamazepine, amitryptiline and warfarin.
Comment on this ECG ?
Forty-four year old gentleman with severe peripheral vascular disease admitted for lower extremity revascularization surgery. He has known coronary artery disease and is status post a myocardial infarction in the remote past, location unknown. His medications included insulin, carbamazepine, amitryptiline and warfarin.
Comment on this ECG ?
Seventy year old gentleman who presented to the emergency room with a two day history of chest pressure
Clinical History 132
Seventy year old gentleman who presented to the emergency room with a two day history of chest pressure, nausea and vomiting. Serial serum cardiac enzyme analysis demonstrated evidence of acute myocardial injury. A cardiac catheterization demonstrated a 100% stenosis of the left anterior descending coronary artery and a 50% stenosis of the right coronary artery.
Comment on this ECG ?
Seventy year old gentleman who presented to the emergency room with a two day history of chest pressure, nausea and vomiting. Serial serum cardiac enzyme analysis demonstrated evidence of acute myocardial injury. A cardiac catheterization demonstrated a 100% stenosis of the left anterior descending coronary artery and a 50% stenosis of the right coronary artery.
Comment on this ECG ?
Fifty year old woman with diabetes, hypertension and advanced peripheral vascular disease
Clinical History 91
Eighty year old woman with diabetes, hypertension and advanced peripheral vascular disease who presented acutely to the hospital with a gangrenous right foot. Medications at the time of this electrocardiogram included insulin, topical nitroglycerin, captopril.furosemide, amiodarone and metolazone.
Comment on this ECG ?
Eighty year old woman with diabetes, hypertension and advanced peripheral vascular disease who presented acutely to the hospital with a gangrenous right foot. Medications at the time of this electrocardiogram included insulin, topical nitroglycerin, captopril.furosemide, amiodarone and metolazone.
Comment on this ECG ?
Forty-six year old man with coronary artery disease status post an extensive anterolateral myocardial infarction
Clinical History 88
Forty-six year old man with coronary artery disease status post an extensive anterolateral myocardial infarction six years prior to this electrocardiogram who returns for preoperative evaluation priorto implantable cardiac defibrillator generator replacement. His medications included metoprolol, simvastatin and aspirin.
Comment on this ECG ?
Forty-six year old man with coronary artery disease status post an extensive anterolateral myocardial infarction six years prior to this electrocardiogram who returns for preoperative evaluation priorto implantable cardiac defibrillator generator replacement. His medications included metoprolol, simvastatin and aspirin.
Comment on this ECG ?
Seventy-two year old woman with recent onset angina pectoris accepted in hospital transfer
Clinical History 73
Seventy-two year old woman with recent onset angina pectoris accepted in hospital transfer for planned coronary artery bypass graft surgery. Her medications included glucotrol, thyroxine, omeprazole, lisinopril andfurosemide. Cardiac riskfactors include non-insulin requiring diabetes mellitus and hypertension.
Comment on this ECG ?
Seventy-two year old woman with recent onset angina pectoris accepted in hospital transfer for planned coronary artery bypass graft surgery. Her medications included glucotrol, thyroxine, omeprazole, lisinopril andfurosemide. Cardiac riskfactors include non-insulin requiring diabetes mellitus and hypertension.
Comment on this ECG ?
Fifty-two year old gentleman with coronary artery disease
Clinical History 15
Fifty-two year old gentleman with coronary artery disease who presented to the hospital with an accelerating pattern of angina pectoris. Co-morbid conditions include hyperlipidemia, hypertension, peptic ulcer disease and chronic anxiety. Medications at the time of this electrocardiogram included aspirin, simvastatin, cholestyramine, a multi-vitamin, metoprolol and topical nitroglycerin.
Comment on this ECG ?
Fifty-two year old gentleman with coronary artery disease who presented to the hospital with an accelerating pattern of angina pectoris. Co-morbid conditions include hyperlipidemia, hypertension, peptic ulcer disease and chronic anxiety. Medications at the time of this electrocardiogram included aspirin, simvastatin, cholestyramine, a multi-vitamin, metoprolol and topical nitroglycerin.
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