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.
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Fifty-three year old woman who was seen in the emergency room with an acute upper Gl distress syndrome

Clinical History 119

Fifty-three year old woman who was seen in the emergency room with an acute upper Gl distress syndrome. She has a longstanding history of tobacco use. Her medications included ranitidine. A serum potassium level was not checked at the time of this electrocardiogram.
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