Seventy-nine year old woman with a history of non-insulin requiring diabetes mellitus
Clinical History 212
Seventy-nine year old woman with a history of non-insulin requiring diabetes mellitus who was referred to the emergency room from her private physician's office in the setting of acute onset bilateral shoulder discomfort, shortness of breath and nausea. A cardiac catheterization was performed four days after her initial presentation and demonstrated advanced disease in the right coronary artery. This was successfully treated with percutaneous transluminal coronary angioplasty. Medications at the time of this electrocardiogram included aspirin, metoprolol, glyburide, intravenous nitroglycerin and intravenous heparin.
Comment on this ECG ?
Seventy-nine year old woman with a history of non-insulin requiring diabetes mellitus who was referred to the emergency room from her private physician's office in the setting of acute onset bilateral shoulder discomfort, shortness of breath and nausea. A cardiac catheterization was performed four days after her initial presentation and demonstrated advanced disease in the right coronary artery. This was successfully treated with percutaneous transluminal coronary angioplasty. Medications at the time of this electrocardiogram included aspirin, metoprolol, glyburide, intravenous nitroglycerin and intravenous heparin.
Comment on this ECG ?
Sixty-three year old gentleman with an inferoposterior myocardial infarction six years prior to this electrocardiogram
Clinical History 210
Sixty-three year old gentleman with an inferoposterior myocardial infarction six years prior to this electrocardiogram who is admitted to the hospital for evaluation of recurrent ventricular dysrhythmias. The patient is on no current medications. A recent echocardiogram demonstrated moderate regional left ventricular systolic dysfunction with inferoposterior segment akinesis.
Comment on this ECG ?
Sixty-three year old gentleman with an inferoposterior myocardial infarction six years prior to this electrocardiogram who is admitted to the hospital for evaluation of recurrent ventricular dysrhythmias. The patient is on no current medications. A recent echocardiogram demonstrated moderate regional left ventricular systolic dysfunction with inferoposterior segment akinesis.
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Seventy-one year old woman status post a myocardial infarction twenty-five years prior
Clinical History 172
Seventy-one year old woman status post a myocardial infarction twenty-five years prior to this electrocardiogram who presents with acute onset chest discomfort. Co-morbidities include tobacco use, primary hyperthyroidism and long-standing hypertension. Serial cardiac enzyme analysis confirmed acute myocardial injury.
Comment on this ECG ?
Seventy-one year old woman status post a myocardial infarction twenty-five years prior to this electrocardiogram who presents with acute onset chest discomfort. Co-morbidities include tobacco use, primary hyperthyroidism and long-standing hypertension. Serial cardiac enzyme analysis confirmed acute myocardial injury.
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Eighty-seven year old gentleman with a history of gastritis and benign prostatic hypertrophy admitted
Clinical History 80
Eighty-seven year old gentleman with a history of gastritis and benign prostatic hypertrophy admitted to the hospital with acute onset abdominal pain. The patient subsequently underwent an exploratory laparotomy for a small bowel obstruction. His past medical history is notable for a myocardial infarction twenty-six years priorto this electrocardiogram.
Comment on this ECG ?
Eighty-seven year old gentleman with a history of gastritis and benign prostatic hypertrophy admitted to the hospital with acute onset abdominal pain. The patient subsequently underwent an exploratory laparotomy for a small bowel obstruction. His past medical history is notable for a myocardial infarction twenty-six years priorto this electrocardiogram.
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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 ?
Seventy-nine year old woman with a history of non-insulin requiring diabetes mellitus
Clinical History 18
Seventy-nine year old woman with a history of non-insulin requiring diabetes mellitus who was referred to the emergency room from her private physician's office in the setting of acute onset bilateral shoulder discomfort, shortness of breath and nausea. A cardiac catheterization was performed four days after her hospitalization and demonstrated advanced disease in the right coronary artery which was successfully treated with percutaneous transluminal coronary angioplasty. Medications at the time of this electrocardiogram included aspirin, metoprolol, glyburide, intravenous nitroglycerin and intravenous heparin.
Comment on this ECG ?
Seventy-nine year old woman with a history of non-insulin requiring diabetes mellitus who was referred to the emergency room from her private physician's office in the setting of acute onset bilateral shoulder discomfort, shortness of breath and nausea. A cardiac catheterization was performed four days after her hospitalization and demonstrated advanced disease in the right coronary artery which was successfully treated with percutaneous transluminal coronary angioplasty. Medications at the time of this electrocardiogram included aspirin, metoprolol, glyburide, intravenous nitroglycerin and intravenous heparin.
Comment on this ECG ?
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