Eighty-seven year old woman with severe osteoarthritis
Clinical History 631
Eighty-seven year old woman with severe osteoarthritis who seeks a second opinion secondary to progressive shortness of breath. Her medications included multivitamins and lisinopril.
Comment on this ECG ?
Eighty-seven year old woman with severe osteoarthritis who seeks a second opinion secondary to progressive shortness of breath. Her medications included multivitamins and lisinopril.
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations
Clinical History 68
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations. His medications included ibuprofen and ranitidine.
What is your spot diagnosis ?
Comment on this ECG ?
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations. His medications included ibuprofen and ranitidine.
What is your spot diagnosis ?
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 ?
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-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 ?
Sixty-four year old gentleman admitted to the hospital for evaluation of prostate cancer.
Clinical History 241
Sixty-four year old gentleman admitted to the hospital for evaluation of prostate cancer. His past medical history includes paroxysmal atrial fibrillation. His medications at the time of this electrocardiogram included atenolol and warfarin.
Comment on this ECG ?
Sixty-four year old gentleman admitted to the hospital for evaluation of prostate cancer. His past medical history includes paroxysmal atrial fibrillation. His medications at the time of this electrocardiogram included atenolol and warfarin.
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 year old woman being seen in preoperative anesthesia clearance priorto spinal stenosis surgical repair.
Clinical History 225
Eighty year old woman being seen in preoperative anesthesia clearance priorto spinal stenosis surgical repair. Her cardiac health has been excellent without a known prior myocardial infarction. She is on no current medications.
Comment on this ECG ?
Eighty year old woman being seen in preoperative anesthesia clearance priorto spinal stenosis surgical repair. Her cardiac health has been excellent without a known prior myocardial infarction. She is on no current medications.
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-eight year old gentleman status post recent coronary artery bypass graft surgery who returns
Clinical History 211
Sixty-eight year old gentleman status post recent coronary artery bypass graft surgery who returns for postoperative cardiac follow-up. His past cardiac history includes an anterior myocardial infarction one year prior to this electrocardiogram followed by a percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery. His medications at the time of this tracing included metformin, diltiazem, procainamide, metoprolol and simvastatin.
Comment on this ECG ?
Sixty-eight year old gentleman status post recent coronary artery bypass graft surgery who returns for postoperative cardiac follow-up. His past cardiac history includes an anterior myocardial infarction one year prior to this electrocardiogram followed by a percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery. His medications at the time of this tracing included metformin, diltiazem, procainamide, metoprolol and simvastatin.
Comment on this ECG ?
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.
Comment on this ECG ?
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.
Comment on this ECG ?
Twenty-two year old woman who presents for evaluation of dysplastic nevi
Clinical History 146
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 ?
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 ?
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department
Clinical History 139
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department for a follow-up evaluation. He has no cardiac history and is on no cardiac medications.
Comment on this ECG ?
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department for a follow-up evaluation. He has no cardiac history and is on no cardiac medications.
Comment on this ECG ?
Seventy-three year old gentleman who presented to the emergency room with severe constant chest discomfort
Clinical History 128
Seventy-three year old gentleman who presented to the emergency room with severe constant chest discomfort and an electrocardiogram consistent with an extensive acute myocardial infarction. The patient developed cardiogenic shock and was taken to the cardiac catheterization laboratory where an urgent angioplasty of a 100% proximal left anterior descending occlusion was performed. The patient developed pneumonia, hypotension and subsequently expired.
Comment on this ECG ?
Seventy-three year old gentleman who presented to the emergency room with severe constant chest discomfort and an electrocardiogram consistent with an extensive acute myocardial infarction. The patient developed cardiogenic shock and was taken to the cardiac catheterization laboratory where an urgent angioplasty of a 100% proximal left anterior descending occlusion was performed. The patient developed pneumonia, hypotension and subsequently expired.
Comment on this ECG ?
Seventy-two year old gentleman with no known cardiac history
Clinical History 86
Seventy-two year old gentleman with no known cardiac history who returns for outpatient internal medicine follow-up. This electrocardiogram was obtained as part of his general health evaluation. His medications included aspirin.
Comment on this ECG ?
Seventy-two year old gentleman with no known cardiac history who returns for outpatient internal medicine follow-up. This electrocardiogram was obtained as part of his general health evaluation. His medications included aspirin.
Comment on this ECG ?
Sixty-one year old gentleman admitted to the hospital for evaluation of recent onset chest discomfort
Clinical History 81
Sixty-one year old gentleman admitted to the hospital for evaluation of recent onset chest discomfort in the setting of coronary artery disease and coronary artery bypass graft surgery five years priorto this electrocardiogram. Medications at the time of this electrocardiogram included aspirin, cimetidine, diltiazem, glipizide and insulin
Comment on this ECG ?
Sixty-one year old gentleman admitted to the hospital for evaluation of recent onset chest discomfort in the setting of coronary artery disease and coronary artery bypass graft surgery five years priorto this electrocardiogram. Medications at the time of this electrocardiogram included aspirin, cimetidine, diltiazem, glipizide and insulin
Comment on this ECG ?
Thirty-five year old woman with a history of mitral valve endocarditis status post St. Jude mitral valve replacement
Clinical History 79
Thirty-five year old woman with a history of mitral valve endocarditis status post St. Jude mitral valve replacement who presents for elective hip replacement. Her medications included warfarin, lisinopril and meperidine.
Comment on this ECG ?
Thirty-five year old woman with a history of mitral valve endocarditis status post St. Jude mitral valve replacement who presents for elective hip replacement. Her medications included warfarin, lisinopril and meperidine.
Comment on this ECG ?
Forty-two year old gentleman who is self-referred for evaluation
Clinical History 68
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations. His medications included ibuprofen and ranitidine.
Comment on this ECG ?
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations. His medications included ibuprofen and ranitidine.
Comment on this ECG ?
Sixty-five year old woman with a history of hypertension and chronic obstructive pulmonary disease
Clinical History 39
Sixty-five year old woman with a history of hypertension and chronic obstructive pulmonary disease who presents to the emergency room with a recent history of generalized weakness and exertional dyspnea. Her medications included inhalers, lisinopril and furosemide. By history she has not suffered a myocardial infarction.
Comment on this ECG ?
Sixty-five year old woman with a history of hypertension and chronic obstructive pulmonary disease who presents to the emergency room with a recent history of generalized weakness and exertional dyspnea. Her medications included inhalers, lisinopril and furosemide. By history she has not suffered a myocardial infarction.
Comment on this ECG ?
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