Eighty-seven year old woman with severe osteoarthritis
Clinical History 631
Eighty-seven year old woman with severe osteoarthritis who seeks a second opinion secondary to progressive shortness of breath. Her medications included multivitamins and lisinopril.
Comment on this ECG ?
Eighty-seven year old woman with severe osteoarthritis who seeks a second opinion secondary to progressive shortness of breath. Her medications included multivitamins and lisinopril.
Seventy-two year old woman with recent onset angina pectoris
Clinical History 74
Sixty-four year old gentleman who presented to the emergency room with a two week history of bilateral arm discomfort and numbness. This escalated immediately before presentation and the accompanying electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal left anterior descending coronary artery stenosis, an 80% left circumflex coronary artery stenosis and an 80% right coronary artery stenosis. Left ventriculography demonstrated antero-apical and infero-apical myocardial infarctions and overall moderate left ventricular systolic dysfunction. The patient was treated medically without further cardiac intervention.
Comment on this ECG ?
Sixty-four year old gentleman who presented to the emergency room with a two week history of bilateral arm discomfort and numbness. This escalated immediately before presentation and the accompanying electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal left anterior descending coronary artery stenosis, an 80% left circumflex coronary artery stenosis and an 80% right coronary artery stenosis. Left ventriculography demonstrated antero-apical and infero-apical myocardial infarctions and overall moderate left ventricular systolic dysfunction. The patient was treated medically without further cardiac intervention.
Seventy year old gentleman undergoing preoperative evaluation priorto planned bilateral total knee replacement.
Clinical History 197
Seventy year old gentleman undergoing preoperative evaluation priorto planned bilateral total knee replacement. He has no known cardiac disease. Co-morbid conditions include severe debilitating rheumatoid arthritis requiring chronic steroid therapy, glucose intolerance and restrictive lung disease. Medications at the time of this electrocardiogram included prednisone and thyroxine.
Comment on this ECG ?
Seventy year old gentleman undergoing preoperative evaluation priorto planned bilateral total knee replacement. He has no known cardiac disease. Co-morbid conditions include severe debilitating rheumatoid arthritis requiring chronic steroid therapy, glucose intolerance and restrictive lung disease. Medications at the time of this electrocardiogram included prednisone and thyroxine.
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 ?
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-five year old woman with a history of hypertension who presents to her primary care physician
Clinical History 82
Fifty-five year old woman with a history of hypertension who presents to her primary care physician for a general physical exam and health assessment. Her medications included hydrochlorothiazide. There was no clinical history of a prior myocardial infarction.
Comment on this ECG ?
Fifty-five year old woman with a history of hypertension who presents to her primary care physician for a general physical exam and health assessment. Her medications included hydrochlorothiazide. There was no clinical history of a prior myocardial infarction.
Comment on this ECG ?
Sixty-four year old gentleman who presented to the emergency room
Clinical History 74
Sixty-four year old gentleman who presented to the emergency room with a two week history of bilateral arm discomfort and numbness. This escalated immediately before presentation and the accompanying electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal left anterior descending coronary artery stenosis, an 80% left circumflex coronary artery stenosis and an 80% right coronary artery stenosis. Left ventriculography demonstrated antero-apical and infero-apical myocardial infarctions and overall moderate left ventricular systolic dysfunction. The patient was treated medically without further cardiac intervention.
Comment on this ECG ?
Sixty-four year old gentleman who presented to the emergency room with a two week history of bilateral arm discomfort and numbness. This escalated immediately before presentation and the accompanying electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal left anterior descending coronary artery stenosis, an 80% left circumflex coronary artery stenosis and an 80% right coronary artery stenosis. Left ventriculography demonstrated antero-apical and infero-apical myocardial infarctions and overall moderate left ventricular systolic dysfunction. The patient was treated medically without further cardiac intervention.
Comment on this ECG ?
Seven-eight year old gentleman with a prior anterior myocardial infarction
Clinical History 52
Seven-eight year old gentleman with a prior anterior myocardial infarction in the setting of a 100% left anterior descending coronary artery occlusion seen in the outpatient department for routine cardiology follow-up. He experienced recent angina pectoris in the setting of urologic surgery. His cardiac medications included amlodipine.
Comment on this ECG ?
Seven-eight year old gentleman with a prior anterior myocardial infarction in the setting of a 100% left anterior descending coronary artery occlusion seen in the outpatient department for routine cardiology follow-up. He experienced recent angina pectoris in the setting of urologic surgery. His cardiac medications included amlodipine.
Comment on this ECG ?
Seventy-four year old gentleman who presents to the Neurology clinic
Clinical History 48
Seventy-four year old gentleman who presents to the Neurology clinic for evaluation of long-standing back discomfort. He has no known cardiac disease and specifically no prior myocardial infarction. Further cardiac evaluation was not pursued. His medications included potassium, ranitidine, a multi-vitamin and thyroxine.
Comment on this ECG ?
Seventy-four year old gentleman who presents to the Neurology clinic for evaluation of long-standing back discomfort. He has no known cardiac disease and specifically no prior myocardial infarction. Further cardiac evaluation was not pursued. His medications included potassium, ranitidine, a multi-vitamin and thyroxine.
Comment on this ECG ?
Sixty-five year old woman with a history of hypertension and chronic obstructive pulmonary disease
Clinical History 39
Sixty-five year old woman with a history of hypertension and chronic obstructive pulmonary disease who presents to the emergency room with a recent history of generalized weakness and exertional dyspnea. Her medications included inhalers, lisinopril and furosemide. By history she has not suffered a myocardial infarction.
Comment on this ECG ?
Sixty-five year old woman with a history of hypertension and chronic obstructive pulmonary disease who presents to the emergency room with a recent history of generalized weakness and exertional dyspnea. Her medications included inhalers, lisinopril and furosemide. By history she has not suffered a myocardial infarction.
Comment on this ECG ?
Forty-three year old gentleman admitted in urgent hospital transfer after a one day history of acute chest discomfort
linical History 38
Forty-three year old gentleman admitted in urgent hospital transfer after a one day history of acute chest discomfort. The patient was taken urgently to the cardiac catheterization laboratory where a 90% mid left anterior descending coronary artery stenosis involving a second diagonal branch was present. The patient underwent successful angioplasty and stent deployment.
Comment on this ECG ?
Forty-three year old gentleman admitted in urgent hospital transfer after a one day history of acute chest discomfort. The patient was taken urgently to the cardiac catheterization laboratory where a 90% mid left anterior descending coronary artery stenosis involving a second diagonal branch was present. The patient underwent successful angioplasty and stent deployment.
Comment on this ECG ?
Forty-six year old gentleman with a myocardial infarction two years
Clinical History 22
Forty-six year old gentleman with a myocardial infarction two years before this electrocardiogram who presented to the emergency room with a six hour history of acute severe substernal chest discomfort. The patient underwent emergent cardiac catheterization and percutaneous transluminal coronary angioplasty of a severe proximal left anterior descending coronary artery stenosis.
Comment on this ECG ?
Forty-six year old gentleman with a myocardial infarction two years before this electrocardiogram who presented to the emergency room with a six hour history of acute severe substernal chest discomfort. The patient underwent emergent cardiac catheterization and percutaneous transluminal coronary angioplasty of a severe proximal left anterior descending coronary artery stenosis.
Comment on this ECG ?
Sixty-two year old gentleman with severe three-vessel coronary artery disease referred
Clinical History 13
Sixty-two year old gentleman with severe three-vessel coronary artery disease referred for coronary artery bypass graft surgery. A recent cardiac catheterization demonstrated normal left ventricular systolic function without evidence of a prior myocardial infarction. Medications at the time of this electrocardiogram included atenolol, gemfibrozil and folic acid.
Comment on this ECG ?
Sixty-two year old gentleman with severe three-vessel coronary artery disease referred for coronary artery bypass graft surgery. A recent cardiac catheterization demonstrated normal left ventricular systolic function without evidence of a prior myocardial infarction. Medications at the time of this electrocardiogram included atenolol, gemfibrozil and folic acid.
Comment on this ECG ?
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