Sixty-two year old gentleman who is undergoing preoperative anesthesia clearance priorto planned rotator cuff repair

Clinical History 09

Sixty-two year old gentleman who is undergoing preoperative anesthesia clearance priorto planned rotator cuff repair. His past medical history is notable for hypertension but no known cardiac disease. His medications included verapamil.
Comment on this ECG ?

Fifty-two year old gentleman who presents for a routine physical examination

Clinical History 02

Fifty-two year old gentleman who presents for a routine physical examination in the preventive medicine department. His past medical history includes elevated triglycerides and a low HDL cholesterol value. He otherwise remains in good health.
Comment on this ECG ?

Eighteen year old gentleman with a seizure disorder

Clinical History 01
Eighteen year old gentleman with a seizure disorder who returns for outpatient neurology follow-up. His medications included phenytoin, carbamazepine and diazepam.
Comment on this ECG ?

Twenty-nine year old gentleman with hypertrophic obstructive cardiomyopathy

Clinical History 276

Twenty-nine year old gentleman with hypertrophic obstructive cardiomyopathy status post recent surgical myectomy.
Comment on this ECG ?

Seventy-one year old woman with recurrent congestive heart failure accepted in hospital transfer for further evaluation.

Clinical History 257

Seventy-one year old woman with recurrent congestive heart failure accepted in hospital transfer for further evaluation. A recent cardiac catheterization demonstrated severe diffuse atherosclerotic coronary disease, moderately severe left ventricular systolic dysfunction with remote anterior, apical and inferior wall myocardial infarctions. Medications at the time of this electrocardiogram included amlodipine, enalapril.furosemide, prazosin and metolazone.
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 ?

Sixty-one year old gentleman with coronary artery disease and a myocardial infarction six years priorto

Clinical History 255

Sixty-one year old gentleman with coronary artery disease and a myocardial infarction six years priorto this electrocardiogram who returns for outpatient internal medicine follow-up. Co-morbid conditions include hypertension, insulin requiring diabetes mellitus and carotid vascular disease. His medications included captopril, isosorbide dinitrate, insulin, aspirin, digoxin and furosemide.
Comment on this ECG ?

Forty year old woman who returns for outpatient follow-up after undergoing

Clinical History 233

Forty year old woman who returns for outpatient follow-up after undergoing an ostium secundum atrial septal defect repair one year prior to this electrocardiogram. She currently feels well without cardiac symptomatology. Medications at the time of this electrocardiogram included antidepressants.
Comment on this ECG ?

Twenty-six year old woman with supraventricular tachycardia who underwent an electrophysiology study

Clinical History 232

Twenty-six year old woman with supraventricular tachycardia who underwent an electrophysiology study and radiofrequency ablation of the slow atrioventricular nodal pathway with resolution of atypical atrioventricular nodal re-entry tachycardia. This electrocardiogram was obtained in a hospitalized setting after her recent radiofrequency ablation procedure.
Comment on this ECG ?

Twenty-six year old woman with supraventricular tachycardia

Clinical History 230

Twenty-six year old woman with supraventricular tachycardia who subsequently underwent electrophysiology study and radiofrequency ablation of the slow atrioventricular nodal pathway with resolution of atrioventricular nodal re-entry tachycardia.
Comment on this ECG ?

Seventy-six year old woman with a history of hypertension

Clinical History 198

Seventy-six year old woman with a history of hypertension who received a preoperative electrocardiogram priorto subsequent gynecologic surgery. She has no known prior cardiac history.
Comment on this ECG ?

Twenty-two year old woman admitted to the hospital for evaluation and treatment of schizophrenia

Clinical History 194

Twenty-two year old woman admitted to the hospital for evaluation and treatment of schizophrenia. She is on no current medications.
Comment on this ECG ?

Thirty-eight year old gentleman with acute onset chest discomfort felt non-cardiac

Clinical History 177

Thirty-eight year old gentleman with acute onset chest discomfort felt non-cardiac and most likely musculoskeletal in origin. He has no known prior health problems.
Comment on this ECG ?

Forty-six year old woman referred for evaluation of suspected long-standing pulmonic stenosis

Clinical History 167

Forty-six year old woman referred for evaluation of suspected long-standing pulmonic stenosis. She is on no medications. A recent echocardiogram demonstrated mild pulmonic stenosis and otherwise was normal.
Comment on this ECG ?

Sixteen year old gentleman admitted acutely to the hospital for further evaluation

Clinical History 161

Sixteen year old gentleman admitted acutely to the hospital for further evaluation of suicidal ideation and depression. He has no known cardiac history.
Comment on this ECG ?

Sixty-seven year old woman with dialysis requiring renal failure being seen

Clinical History 158

Sixty-seven year old woman with dialysis requiring renal failure being seen in the outpatient nephrology clinic
Comment on this ECG ?

Nineteen year old gentleman with a history of a seizure disorder admitted

Clinical History 148

Nineteen year old gentleman with a history of a seizure disorder admitted for evaluation after an intentional carbamazepine overdose.
Comment on this ECG ?

Twenty-two year old woman who presents for evaluation of dysplastic nevi

Clinical History 147

Twenty-two year old woman who presents for evaluation of dysplastic nevi. She has known dextrocardia and is on no current medications.
Comment on this ECG ?
Right-Sided Chest Leads

Thirty-four year old woman who presents to the hospital with acute onset epigastric pain

Clinical History 130

Thirty-four year old woman who presents to the hospital with acute onset epigastric pain, diarrhea and dizziness. Her past medical history includes migraine headaches and nephrolithiasis.
Comment on this ECG ?

Seventy-five year old woman without a prior cardiac history

Clinical History 126

Seventy-five year old woman without a prior cardiac history who is being evaluated preoperativelyfora right hip replacement
Comment on this ECG ?

Copyright © ECG Cases.