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 ?

Sixty-five year old gentleman with a myocardial infarction five years prior to this electrocardiogram referred

Clinical History 215

Sixty-five year old gentleman with a myocardial infarction five years prior to this electrocardiogram referred for coronary artery bypass graft surgery. A recent cardiac catheterization demonstrated a 100% occlusion of the first diagonal branch of the left anterior descending coronary artery which was felt to reflect his prior high lateral myocardial infarction.
Comment on this ECG ?

Fifty-eight year old woman who is being evaluated preoperatively prior to a bilateral mastectomy

Clinical History 136

Fifty-eight year old woman who is being evaluated preoperatively prior to a bilateral mastectomy for cancer of the breast. Her cardiac history includes a normal cardiac catheterization prompted by a chest discomfort syndrome two years before this electrocardiogram. There is no clinical history of palpitations, pre-syncope or a prior myocardial infarction.
Comment on this ECG ?

Sixty-four year old gentleman with a history of remote coronary artery bypass graft surgery

Clinical History  85

Sixty-four year old gentleman with a history of remote coronary artery bypass graft surgery who presents with recurrent angina pectoris. His past history includes transitional carcinoma of the bladder, non-insulin requiring diabetes mellitus and peptic ulcer disease. His medications included isosorbide dinitrate, diltiazem and ferrous sulfate.
Comment on this ECG ?

Seventy-one year old gentleman with a two week history of jaundice

Clinical History 69

Seventy-one year old gentleman with a two week history of jaundice who presents for further evaluation. The patient's cardiac history includes a remote myocardial infarction and coronary artery bypass graft surgery five years priorto this electrocardiogram. Medications at the time of this electrocardiogram included verapamil and aspirin.
Comment on this ECG ?

Seventy-six year old gentleman with coronary artery disease

Clinical History 65

Seventy-six year old gentleman with coronary artery disease who is status post a remote myocardial infarction twenty years priorto this electrocardiogram, location unknown. He returns for a follow-up cardiac evaluation. His interval cardiac history includes coronary artery bypass graft surgery on two separate occasions, the most recent three years priorto this electrocardiogram.
Comment on this ECG ?

Sixty-five year old gentleman referred for coronary artery bypass graft surgery

Clinical History 43

Sixty-five year old gentleman referred for coronary artery bypass graft surgery in the setting of pulmonary edema and advanced coronary artery disease. A recent cardiac catheterization demonstrated moderately severe left ventricular systolic dysfunction and anterolateral akinesis.The most advanced coronary artery obstruction was in the diagonal branch of the left anterior descending coronary artery. Medications at the time of this electrocardiogram included atenolol, aspirin, simvastatin and isosorbide mononitrate. Co-morbidities included hypertension and long-term tobacco use.
Comment on this ECG ?

Seventy-eight year old woman with a long history of paroxysmal supraventricular tachycardia

Clinical History 27

Seventy-eight year old woman with a long history of paroxysmal supraventricular tachycardia seen in routine cardiology follow-up. A recent echocardiogram demonstrated minimal thickening of the aortic valve but otherwise a structurally normal heart. Her medications included propranolol.
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