Forty-one year old gentleman with myelodysplasia syndrome
Clinical History 06
Forty-one year old gentleman with myelodysplasia syndrome and insulin requiring diabetes mellitus admitted for a bone marrow transplantation. His serum potassium at the time of this electrocardiogram was 3.4 meq/L
Comment on this ECG ?
Forty-one year old gentleman with myelodysplasia syndrome and insulin requiring diabetes mellitus admitted for a bone marrow transplantation. His serum potassium at the time of this electrocardiogram was 3.4 meq/L
Comment on this ECG ?
Fifty-six year old gentleman who underwent a cardiac transplant procedure
Clinical History 03
Fifty-six year old gentleman who underwent a cardiac transplant procedure six weeks priorto this electrocardiogram secondary to an idiopathic non-ischemic dilated cardiomyopathy and recurrent ventricular tachycardia. His medications at the time of this electrocardiogram included digoxin.furosemide, lisinopril, potassium and aspirin.
Comment on this ECG ?
Fifty-six year old gentleman who underwent a cardiac transplant procedure six weeks priorto this electrocardiogram secondary to an idiopathic non-ischemic dilated cardiomyopathy and recurrent ventricular tachycardia. His medications at the time of this electrocardiogram included digoxin.furosemide, lisinopril, potassium and aspirin.
Comment on this ECG ?
Seventy-five year old woman with coronary artery disease status post angioplasty and coronary artery bypass graft surgery
Clinical History 270
Seventy-five year old woman with coronary artery disease status post angioplasty and coronary artery bypass graft surgery who is currently being seen in the outpatient cardiology clinic. Other co-morbidities include non-insulin requiring diabetes mellitus and hypertension. This patient developed progressive heart block shortly after this electrocardiogram and permanent pacemaker implantation was undertaken. Medications at the time of this electrocardiogram included captopril, diltiazem, furosemide, aspirin, topical nitrates and simvastatin.
Comment on this ECG ?
Seventy-five year old woman with coronary artery disease status post angioplasty and coronary artery bypass graft surgery who is currently being seen in the outpatient cardiology clinic. Other co-morbidities include non-insulin requiring diabetes mellitus and hypertension. This patient developed progressive heart block shortly after this electrocardiogram and permanent pacemaker implantation was undertaken. Medications at the time of this electrocardiogram included captopril, diltiazem, furosemide, aspirin, topical nitrates and simvastatin.
Comment on this ECG ?
Seventy-seven year old woman with hypertension, hyperlipidemia and angina pectoris
Clinical History 269
Seventy-seven year old woman with hypertension, hyperlipidemia and angina pectoris who returns for routine cardiac follow-up in the setting of atherosclerotic coronary artery disease. She is status post a percutaneous revascularization procedure to her left circumflex coronary artery, mitral valve replacement and a remote myocardial infarction of unknown location. Her medications included ticlodipine, Prilosec and aspirin.
Comment on this ECG ?
Seventy-seven year old woman with hypertension, hyperlipidemia and angina pectoris who returns for routine cardiac follow-up in the setting of atherosclerotic coronary artery disease. She is status post a percutaneous revascularization procedure to her left circumflex coronary artery, mitral valve replacement and a remote myocardial infarction of unknown location. Her medications included ticlodipine, Prilosec and aspirin.
Comment on this ECG ?
Seventy-two year old gentleman with advanced peripheral vascular disease who is admitted
Clinical History 251
Seventy-two year old gentleman with advanced peripheral vascular disease who is admitted to the hospital for a semi-elective below the knee amputation. His past medical history includes chronic obstructive pulmonary disease, a remote myocardial infarction and prior pacemaker placement. His medications included quinidine and digoxin.
Comment on this ECG ?
Seventy-two year old gentleman with advanced peripheral vascular disease who is admitted to the hospital for a semi-elective below the knee amputation. His past medical history includes chronic obstructive pulmonary disease, a remote myocardial infarction and prior pacemaker placement. His medications included quinidine and digoxin.
Comment on this ECG ?
Seventy-four year old woman with a history of breast cancer who is status post mastectomy
Clinical History 243
Seventy-four year old woman with a history of breast cancer who is status post mastectomy and chemotherapy administration This is a routine post-chemotherapy electrocardiogram.
Comment on this ECG ?
Seventy-four year old woman with a history of breast cancer who is status post mastectomy and chemotherapy administration This is a routine post-chemotherapy electrocardiogram.
Comment on this ECG ?
Seventy-four year old woman with afebrile illness. She was diagnosed with aortic valve endocarditis
Clinical History 242
Seventy-four year old woman with afebrile illness. She was diagnosed with aortic valve endocarditis and underwent recent aortic valve homograft placement.
Comment on this ECG ?
Seventy-four year old woman with afebrile illness. She was diagnosed with aortic valve endocarditis and underwent recent aortic valve homograft placement.
Comment on this ECG ?
Forty-six year old woman admitted to the hospital with acute pneumonia and recent onset perceived rapid heart beating.
Clinical History 239
Forty-six year old woman admitted to the hospital with acute pneumonia and recent onset perceived rapid heart beating. Her pertinent past medical history includes steroid-dependent polymyositis. A cardiac catheterization performed one year before this electrocardiogram demonstrated normal coronary arteries.
Comment on this ECG ?
Forty-six year old woman admitted to the hospital with acute pneumonia and recent onset perceived rapid heart beating. Her pertinent past medical history includes steroid-dependent polymyositis. A cardiac catheterization performed one year before this electrocardiogram demonstrated normal coronary arteries.
Comment on this ECG ?
Seventy-eight year old gentleman status post remote aortic valve replacement
Clinical History 236
Seventy-eight year old gentleman status post remote aortic valve replacement, coronary artery bypass graft surgery and recurrent transitional cell carcinoma of the bladderwho developed this cardiac dysrhythmia during the intravenous administration of a chemotherapeutic medication.
Comment on this ECG ?
Seventy-eight year old gentleman status post remote aortic valve replacement, coronary artery bypass graft surgery and recurrent transitional cell carcinoma of the bladderwho developed this cardiac dysrhythmia during the intravenous administration of a chemotherapeutic medication.
Comment on this ECG ?
Seventy-six year old woman with coronary artery disease
Clinical History 234
Seventy-six year old woman with coronary artery disease who underwent multi-vessel coronary artery bypass graft surgery one yearpriorto this electrocardiogram. She now presents for evaluation of a recent syncopal episode.
Comment on this ECG ?
Seventy-six year old woman with coronary artery disease who underwent multi-vessel coronary artery bypass graft surgery one yearpriorto this electrocardiogram. She now presents for evaluation of a recent syncopal episode.
Comment on this ECG ?
Eighty-fouryearold woman with a history of hypertension and spinal stenosis
Clinical History 227
Eighty-fouryearold woman with a history of hypertension and spinal stenosis who was noted to have a sudden onset tachycardia during preoperative evaluation. The patient received intravenous verapamil at which time she converted to normal sinus rhythm. Extended release verapamil was continued without further dysrhythmia recurrence.
Comment on this ECG ?
Eighty-fouryearold woman with a history of hypertension and spinal stenosis who was noted to have a sudden onset tachycardia during preoperative evaluation. The patient received intravenous verapamil at which time she converted to normal sinus rhythm. Extended release verapamil was continued without further dysrhythmia recurrence.
Comment on this ECG ?
Seventy-four year old woman with a four year history of shortness of breath in the setting
Clinical History 226
Seventy-four year old woman with a four year history of shortness of breath in the setting of a recent cardiac catheterization demonstrating multi-vessel coronary artery disease and severe aortic insufficiency. The patient recently underwent coronary artery bypass graft surgery and aortic valve replacement. Her medications included metoprolol and aspirin.
Comment on this ECG ?
Seventy-four year old woman with a four year history of shortness of breath in the setting of a recent cardiac catheterization demonstrating multi-vessel coronary artery disease and severe aortic insufficiency. The patient recently underwent coronary artery bypass graft surgery and aortic valve replacement. Her medications included metoprolol and aspirin.
Comment on this ECG ?
62 year old woman admitted with fevers and chills of two days duration with suspected sepsis.
Clinical History 222
62 year old woman admitted with fevers and chills of two days duration with suspected sepsis. Co-morbid conditions include rheumatoid arthritis and chronic obstructive lung disease.
Comment on this ECG ?
62 year old woman admitted with fevers and chills of two days duration with suspected sepsis. Co-morbid conditions include rheumatoid arthritis and chronic obstructive lung disease.
Comment on this ECG ?
Sixty-six year old gentleman who presented with an acute chest discomfort syndrome.
Clinical History 220
Sixty-six year old gentleman who presented with an acute chest discomfort syndrome. Serial cardiac enzymes documented a non-0 wave myocardial infarction. Subsequently coronary arteriography was performed demonstrating a severe obstruction in the left circumflex coronary artery. This was followed by successful coronary artery stent placement. Medications at the time of this electrocardiogram included ticlodipine, intravenous heparin, nebulized inhalers and aspirin.
Comment on this ECG ?
Sixty-six year old gentleman who presented with an acute chest discomfort syndrome. Serial cardiac enzymes documented a non-0 wave myocardial infarction. Subsequently coronary arteriography was performed demonstrating a severe obstruction in the left circumflex coronary artery. This was followed by successful coronary artery stent placement. Medications at the time of this electrocardiogram included ticlodipine, intravenous heparin, nebulized inhalers and aspirin.
Comment on this ECG ?
Sixty-three year old gentleman with a non-ischemic dilated cardiomyopathy
Clinical History 218
Sixty-three year old gentleman with a non-ischemic dilated cardiomyopathy status post cardiac transplantation.
Comment on this ECG ?
Sixty-three year old gentleman with a non-ischemic dilated cardiomyopathy status post cardiac transplantation.
Comment on this ECG ?
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 ?
Sixty-seven year old gentleman with non-Hodgkin lymphoma who presents for follow-up evaluation
Clinical History 193
Sixty-seven year old gentleman with non-Hodgkin's lymphoma who presents for follow-up evaluation and chemotherapy administration. His past medical history includes hypertension.
Comment on this ECG ?
Sixty-seven year old gentleman with non-Hodgkin's lymphoma who presents for follow-up evaluation and chemotherapy administration. His past medical history includes hypertension.
Comment on this ECG ?
Fifty-nine year old woman who presented with a chest discomfort syndrome
Clinical History 189
Fifty-nine year old woman who presented with a chest discomfort syndrome and the above electrocardiogram. She subsequently underwent cardiac catheterization demonstrating normal coronary arteries and global mild left ventricular systolic dysfunction. Neurology was consulted forthe possibility of a subarachnoid hemorrhage and this was excluded. Her past medical history includes hypertension.
Comment on this ECG ?
Fifty-nine year old woman who presented with a chest discomfort syndrome and the above electrocardiogram. She subsequently underwent cardiac catheterization demonstrating normal coronary arteries and global mild left ventricular systolic dysfunction. Neurology was consulted forthe possibility of a subarachnoid hemorrhage and this was excluded. Her past medical history includes hypertension.
Comment on this ECG ?
Seventy-four year old woman who is being seen in the breast clinic. Her past medical history includes hypertension,
Clinical History 176
Seventy-four year old woman who is being seen in the breast clinic. Her past medical history includes hypertension, atrial fibrillation and mitral valve prolapse. Her medications included propafenone, triamterene/hydrochlorothiazide and atenolol. Her serum electrolytes were normal at the time of this electrocardiogram.
Comment on this ECG ?
Seventy-four year old woman who is being seen in the breast clinic. Her past medical history includes hypertension, atrial fibrillation and mitral valve prolapse. Her medications included propafenone, triamterene/hydrochlorothiazide and atenolol. Her serum electrolytes were normal at the time of this electrocardiogram.
Comment on this ECG ?
Seventy-five year old woman with long-standing hypertension who is referred for a cardiac evaluation.
Clinical History 174
Seventy-five year old woman with long-standing hypertension who is referred for a cardiac evaluation. Her medications included amlodipine and digoxin. Her serum electrolytes were all within normal limits.
Comment on this ECG ?
Seventy-five year old woman with long-standing hypertension who is referred for a cardiac evaluation. Her medications included amlodipine and digoxin. Her serum electrolytes were all within normal limits.
Comment on this ECG ?
Copyright © ECG Cases.
