Sixty-eight year old gentleman with recent symptoms of accelerating angina pectoris

sClinical History 244

Sixty-eight year old gentleman with recent symptoms of accelerating angina pectoris in the setting of previously diagnosed coronary artery disease. He suffered a myocardial infarction of unknown location twenty-one years priorto this electrocardiogram. A subsequent cardiac catheterization six years priorto this tracing demonstrated an occluded left anterior descending coronary artery with the remainder of the coronary arteries demonstrating diffuse moderate obstruction. The patient was managed medically and at the time of this electrocardiogram was taking aspirin and isosorbide mononitrate.
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Seventy-three year old woman with long-standing hypertension who presents for evaluation of recent onset dyspnea upon exertion.

Clinical History 214

Seventy-three year old woman with long-standing hypertension who presents for evaluation of recent onset dyspnea upon exertion. Co-morbidities include obesity and insulin requiring diabetes mellitus.
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Seventy-three year old gentleman who is being seen in the cardiology outpatient clinic at the time

Clinical History 205

Seventy-three year old gentleman who is being seen in the cardiology outpatient clinic at the time of this electrocardiogram. His past cardiac history includes severe global left ventricular systolic dysfunction, severe mitral insufficiency and mild tricuspid insufficiency in the setting of mild coronary artery disease. Co-morbid conditions include chronic obstructive pulmonary disease and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included enalapril, digoxin, furosemide and amiodarone.
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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.
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Seventeen year old gentleman with an ostium primum atrial septal defect and cleft mitral valve

Clinical History 142

Seventeen year old gentleman with an ostium primum atrial septal defect and cleft mitral valve who underwent this electrocardiogram prior to cardiac surgical repair.
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Eighty-one year old gentleman with severe left ventricular systolic dysfunction secondary

Clinical History 53

Eighty-one year old gentleman with severe left ventricular systolic dysfunction secondary to ischemic heart disease who returns for outpatient cardiology follow-up. He is status post cardiac defibrillator placement for recurrent ventricular arrhythmias. Medications at the time of this electrocardiogram included ethmozine, mexiletine, isosorbide dinitrate, digoxin, metoprolol and enalapril.
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Seventy-nine year old woman with known coronary artery disease

Clinical History 20

Seventy-nine year old woman with known coronary artery disease and moderately severe left ventricular systolic dysfunction who was re-referred for cardiac evaluation secondary to increasing angina pectoris. Medications at the time of this electrocardiogram included furosemide, metoprolol, premarin and aspirin.
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