Fifty-six year old woman with ischemic left ventricular systolic dysfunction and symptoms
Clinical History 259
Fifty-six year old woman with ischemic left ventricular systolic dysfunction and symptoms of advanced congestive heart failure who presents for further outpatient cardiology evaluation. Her medications included digoxin, warfarin, lisinopril, furosemide, potassium and thyroxine.
Comment on this ECG ?
Fifty-six year old woman with ischemic left ventricular systolic dysfunction and symptoms of advanced congestive heart failure who presents for further outpatient cardiology evaluation. Her medications included digoxin, warfarin, lisinopril, furosemide, potassium and thyroxine.
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Sixty-six year old gentleman status post recent coronary artery bypass graft surgery,
Clinical History 256
Sixty-six year old gentleman status post recent coronary artery bypass graft surgery, paroxysmal atrial fibrillation and a cerebrovascular accident who returns for a follow-up evaluation after his bypass surgery. Other co-morbidities include hypertension, non-insulin requiring diabetes mellitus and hyperlipidemia.
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Sixty-six year old gentleman status post recent coronary artery bypass graft surgery, paroxysmal atrial fibrillation and a cerebrovascular accident who returns for a follow-up evaluation after his bypass surgery. Other co-morbidities include hypertension, non-insulin requiring diabetes mellitus and hyperlipidemia.
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Forty-five year old woman with a non-ischemic dilated cardiomyopathy who returns for an outpatient cardiac evaluation.
Clinical History 223
Forty-five year old woman with a non-ischemic dilated cardiomyopathy who returns for an outpatient cardiac evaluation. Her medications included bumetanide, potassium, captopril, digoxin, warfarin and amiodarone.
Comment on this ECG ?
Forty-five year old woman with a non-ischemic dilated cardiomyopathy who returns for an outpatient cardiac evaluation. Her medications included bumetanide, potassium, captopril, digoxin, warfarin and amiodarone.
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Twenty-one year old gentleman status post mitral and aortic St.
Clinical History 203
Twenty-one year old gentleman status post mitral and aortic St. Jude valve replacements secondary to rheumatic valvular heart disease who returns for outpatient cardiology reassessment. His medications included warfarin, digoxin and verapamil. There was no prior myocardial infarction histor
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Twenty-one year old gentleman status post mitral and aortic St. Jude valve replacements secondary to rheumatic valvular heart disease who returns for outpatient cardiology reassessment. His medications included warfarin, digoxin and verapamil. There was no prior myocardial infarction histor
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Sixty-six year old gentleman with advanced coronary artery disease and prior coronary artery bypass graft surgery.
Clinical History 201
Sixty-six year old gentleman with advanced coronary artery disease and prior coronary artery bypass graft surgery. He has severe left ventricular systolic dysfunction. He now returns for a follow-up cardiac evaluation. He currently complains of fatigue but otherwise feels well. Medications at the time of this electrocardiogram included digoxin, furosemide, isosorbide mononitrate and amiodarone.
Comment on this ECG ?
Sixty-six year old gentleman with advanced coronary artery disease and prior coronary artery bypass graft surgery. He has severe left ventricular systolic dysfunction. He now returns for a follow-up cardiac evaluation. He currently complains of fatigue but otherwise feels well. Medications at the time of this electrocardiogram included digoxin, furosemide, isosorbide mononitrate and amiodarone.
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Fifty year old gentleman with a history of a prior anterior myocardial infarction and percutaneous transluminal coronary angioplasty
Clinical History 190
Fifty year old gentleman with a history of a prior anterior myocardial infarction and percutaneous transluminal coronary angioplasty to his left anterior descending coronary artery who re-presents with an acute chest discomfort syndrome and the accompanying electrocardiogram. Co-morbid conditions include diabetes mellitus, hypertension and chronic renal insufficiency. His medications included furosemide, metoprolol, topical nitroglycerin, hydralazine, insulin and aspirin.
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Fifty year old gentleman with a history of a prior anterior myocardial infarction and percutaneous transluminal coronary angioplasty to his left anterior descending coronary artery who re-presents with an acute chest discomfort syndrome and the accompanying electrocardiogram. Co-morbid conditions include diabetes mellitus, hypertension and chronic renal insufficiency. His medications included furosemide, metoprolol, topical nitroglycerin, hydralazine, insulin and aspirin.
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Fifty-nine year old gentleman status post cardiac transplantation three years priorto this electrocardiogram secondary
Clinical History 171
Fifty-nine year old gentleman status post cardiac transplantation three years priorto this electrocardiogram secondary to severe ischemic left ventricular systolic dysfunction who is now seen in the cardiology outpatient clinic. He overall feels well without symptoms of congestive heart failure. His medications include prednisone, azathioprine, labetalol, diltiazem, minoxidil, glyburide and famotidine.
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Fifty-nine year old gentleman status post cardiac transplantation three years priorto this electrocardiogram secondary to severe ischemic left ventricular systolic dysfunction who is now seen in the cardiology outpatient clinic. He overall feels well without symptoms of congestive heart failure. His medications include prednisone, azathioprine, labetalol, diltiazem, minoxidil, glyburide and famotidine.
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Forty-eight year old gentleman with severe mitral stenosis referred for mitral valve reparative surgery
Clinical History 159
Forty-eight year old gentleman with severe mitral stenosis referred for mitral valve reparative surgery. He is on no current medications. A recent echocardiogram confirmed the presence of severe mitral stenosis, a dilated right ventricle with moderately severe systolic dysfunction, moderately severe tricuspid insufficiency and severe pulmonary hypertension.
Comment on this ECG ?
Forty-eight year old gentleman with severe mitral stenosis referred for mitral valve reparative surgery. He is on no current medications. A recent echocardiogram confirmed the presence of severe mitral stenosis, a dilated right ventricle with moderately severe systolic dysfunction, moderately severe tricuspid insufficiency and severe pulmonary hypertension.
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Seventy year old gentleman status post remote coronary artery bypass graft surgery and a prior myocardial infarction,
Clinical History 152
Seventy year old gentleman status post remote coronary artery bypass graft surgery and a prior myocardial infarction, location unknown, who is now being seen preoperatively prior to anticipated knee replacement surgery. The patient is currently asymptomatic. His cardiac medications included metoprolol and aspirin.
Comment on this ECG ?
Seventy year old gentleman status post remote coronary artery bypass graft surgery and a prior myocardial infarction, location unknown, who is now being seen preoperatively prior to anticipated knee replacement surgery. The patient is currently asymptomatic. His cardiac medications included metoprolol and aspirin.
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Sixty-six year old woman with coronary artery disease who is recently status post coronary artery bypass graft surgery
Clinical History 145
Sixty-six year old woman with coronary artery disease who is recently status post coronary artery bypass graft surgery. Her comorbidities include non-insulin requiring diabetes mellitus, hypertension, hypothyroidism and moderate restrictive lung disease. Her medications at the time of this electrocardiogram included aspirin, hydralazine, omeprazole, thyroxine, metoprolol and prednisone.
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Sixty-six year old woman with coronary artery disease who is recently status post coronary artery bypass graft surgery. Her comorbidities include non-insulin requiring diabetes mellitus, hypertension, hypothyroidism and moderate restrictive lung disease. Her medications at the time of this electrocardiogram included aspirin, hydralazine, omeprazole, thyroxine, metoprolol and prednisone.
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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.
Comment on this ECG ?
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 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.
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Eighty-two year old woman who presents to the hospital with acute onset severe shortness of breath
Clinical History 127
Eighty-two year old woman who presents to the hospital with acute onset severe shortness of breath. Her past medical history includes hypertension and gout. Her admission blood gas demonstrated advanced hypoxemia and a V/Q scan was interpreted as high probability for a pulmonary embolism.
Comment on this ECG ?
Eighty-two year old woman who presents to the hospital with acute onset severe shortness of breath. Her past medical history includes hypertension and gout. Her admission blood gas demonstrated advanced hypoxemia and a V/Q scan was interpreted as high probability for a pulmonary embolism.
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Sixty-seven year old woman admitted with mental status changes and a confirmed subarachnoid hemorrhage
Clinical History 124
Sixty-seven year old woman admitted with mental status changes and a confirmed subarachnoid hemorrhage. Co-morbid conditions include liver cirrhosis, hypertension and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included isosorbide mononitrate, spironolactone and disopyramide.
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Sixty-seven year old woman admitted with mental status changes and a confirmed subarachnoid hemorrhage. Co-morbid conditions include liver cirrhosis, hypertension and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included isosorbide mononitrate, spironolactone and disopyramide.
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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.
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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.
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Sixty-nine year old woman accepted in hospital transfer after a recent myocardial infarction
Clinical History 83
Sixty-nine year old woman accepted in hospital transfer after a recent myocardial infarction for evaluation and treatment of postinfarction angina pectoris. A subsequent cardiac catheterization demonstrated three vessel coronary artery disease. This electrocardiogram was obtained priorto intended coronary artery bypass graft surgery. Medications at the time of this tracing included diltiazem, isosorbide mononitrate and aspirin.
Comment on this ECG ?
Sixty-nine year old woman accepted in hospital transfer after a recent myocardial infarction for evaluation and treatment of postinfarction angina pectoris. A subsequent cardiac catheterization demonstrated three vessel coronary artery disease. This electrocardiogram was obtained priorto intended coronary artery bypass graft surgery. Medications at the time of this tracing included diltiazem, isosorbide mononitrate and aspirin.
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Seventy-six year old gentleman with coronary artery disease
Clinical History 65
Seventy-six year old gentleman with coronary artery disease who is status post a remote myocardial infarction twenty years priorto this electrocardiogram, location unknown. He returns for a follow-up cardiac evaluation. His interval cardiac history includes coronary artery bypass graft surgery on two separate occasions, the most recent three years priorto this electrocardiogram.
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Seventy-six year old gentleman with coronary artery disease who is status post a remote myocardial infarction twenty years priorto this electrocardiogram, location unknown. He returns for a follow-up cardiac evaluation. His interval cardiac history includes coronary artery bypass graft surgery on two separate occasions, the most recent three years priorto this electrocardiogram.
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Seventy-eight year old woman with a history of hypertension and insulin requiring diabetes mellitus
Clinical History 64
Seventy-eight year old woman with a history of hypertension and insulin requiring diabetes mellitus who is admitted to the hospital with acute onset shortness of breath and a chest X-ray confirming the presence of congestive heart failure. Her past history includes a renal carcinoma resection. Her medications included furosemide, diltiazem, aspirin, metoprolol, isosorbide dinitrate, hydralazine and insulin.
Comment on this ECG ?
Seventy-eight year old woman with a history of hypertension and insulin requiring diabetes mellitus who is admitted to the hospital with acute onset shortness of breath and a chest X-ray confirming the presence of congestive heart failure. Her past history includes a renal carcinoma resection. Her medications included furosemide, diltiazem, aspirin, metoprolol, isosorbide dinitrate, hydralazine and insulin.
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Seventy-seven year old gentleman admitted with a one week history of orthopnea and progressive dyspnea upon exertion.
Clinical History 57
Seventy-seven year old gentleman admitted with a one week history of orthopnea and progressive dyspnea upon exertion. His past medical history includes long-standing non-insulin requiring diabetes mellitus, hypertension and chronic renal insufficiency. Medications at the time of this electrocardiogram included furosemide, aspirin, topical nitroglycerin and glucotrol.
Comment on this ECG ?
Seventy-seven year old gentleman admitted with a one week history of orthopnea and progressive dyspnea upon exertion. His past medical history includes long-standing non-insulin requiring diabetes mellitus, hypertension and chronic renal insufficiency. Medications at the time of this electrocardiogram included furosemide, aspirin, topical nitroglycerin and glucotrol.
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