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 ?
Fifty-one year old woman with metastatic breast carcinoma admitted for a bone marrow transplantation.
Clinical History 200
Fifty-one year old woman with metastatic breast carcinoma admitted for a bone marrow transplantation. Her potassium level at the time of this tracing was 3.1 meq/L.
Fifty-one year old woman with metastatic breast carcinoma admitted for a bone marrow transplantation. Her potassium level at the time of this tracing was 3.1 meq/L.
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-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 ?
Forty-three year old woman with a history of sarcoidosis and bronchiolitis obliterans who is admitted
Clinical History 157
Forty-three year old woman with a history of sarcoidosis and bronchiolitis obliterans who is admitted to the hospital with a two day history of shortness of breath. Her past medical history includes hypertension and hepatitis C. Medications at the time of this electrocardiogram included prednisone, nebulized inhalers, hydrochlorothiazide, furosemide and potassium.
Comment on this ECG ?
Forty-three year old woman with a history of sarcoidosis and bronchiolitis obliterans who is admitted to the hospital with a two day history of shortness of breath. Her past medical history includes hypertension and hepatitis C. Medications at the time of this electrocardiogram included prednisone, nebulized inhalers, hydrochlorothiazide, furosemide and potassium.
Comment on this ECG ?
Seventy-two year old woman with a history of insulin requiring diabetes mellitus
Clinical History 144
Seventy-two year old woman with a history of insulin requiring diabetes mellitus who is accepted in hospital transfer with the suspected diagnosis of status epilepticus. The patient was diagnosed with a metabolic encephalopathy. Her neurological status failed to improve and she subsequently expired.
Comment on this ECG ?
Seventy-two year old woman with a history of insulin requiring diabetes mellitus who is accepted in hospital transfer with the suspected diagnosis of status epilepticus. The patient was diagnosed with a metabolic encephalopathy. Her neurological status failed to improve and she subsequently expired.
Comment on this ECG ?
Sixty-seven year old woman admitted with mental status changes and a confirmed subarachnoid hemorrhage
Clinical History 124
Sixty-seven year old woman admitted with mental status changes and a confirmed subarachnoid hemorrhage. Co-morbid conditions include liver cirrhosis, hypertension and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included isosorbide mononitrate, spironolactone and disopyramide.
Comment on this ECG ?
Sixty-seven year old woman admitted with mental status changes and a confirmed subarachnoid hemorrhage. Co-morbid conditions include liver cirrhosis, hypertension and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included isosorbide mononitrate, spironolactone and disopyramide.
Comment on this ECG ?
Twenty-eight year old gentleman status post orthotopic liver transplantation secondary
Clinical History 113
Twenty-eight year old gentleman status post orthotopic liver transplantation secondary to chronic hepatitis 8 infection contracted ten years prior to this electrocardiogram who re-presents to the hospital with epigastric pain, nausea and hematemesis. His medications at the time of this electrocardiogram included cyclosporine, prednisone and omeprazole. His admission serum chemistries were notable for a serum potassium level of 2.3 meq/L
Comment on this ECG ?
Twenty-eight year old gentleman status post orthotopic liver transplantation secondary to chronic hepatitis 8 infection contracted ten years prior to this electrocardiogram who re-presents to the hospital with epigastric pain, nausea and hematemesis. His medications at the time of this electrocardiogram included cyclosporine, prednisone and omeprazole. His admission serum chemistries were notable for a serum potassium level of 2.3 meq/L
Comment on this ECG ?
Nineteen year old gentleman with dialysis requiring end stage renal disease
Clinical History 105
Nineteen year old gentleman with dialysis requiring end stage renal disease of unknown etiology who presented to the hospital with symptoms of shortness of breath and chest X-ray confirmation of pulmonary edema. His serum potassium at the time of admission was 6.8 meq/L. His serum calcium was 6.0 mg/dl.
Comment on this ECG ?
Nineteen year old gentleman with dialysis requiring end stage renal disease of unknown etiology who presented to the hospital with symptoms of shortness of breath and chest X-ray confirmation of pulmonary edema. His serum potassium at the time of admission was 6.8 meq/L. His serum calcium was 6.0 mg/dl.
Comment on this ECG ?
Forty-seven year old woman with dialysis requiring renal failure secondary to long-standing hypertension
Clinical History 87
Forty-seven year old woman with dialysis requiring renal failure secondary to long-standing hypertension who presented to the hospital with recent onset shortness of breath. At the time of this electrocardiogram her serum calcium was 7.2 mg/dl and her serum potassium was 6.4 meq/L
Comment on this ECG ?
Forty-seven year old woman with dialysis requiring renal failure secondary to long-standing hypertension who presented to the hospital with recent onset shortness of breath. At the time of this electrocardiogram her serum calcium was 7.2 mg/dl and her serum potassium was 6.4 meq/L
Comment on this ECG ?
Fifty-nine year old woman who suffered a bradycardic cardiac arrest
Clinical History 49
Fifty-nine year old woman who suffered a bradycardic cardiac arrest in the setting of an acute subarachnoid hemorrhage. The patient eventually recovered and was discharged from the hospital. During her hospitalization an echocardiogram demonstrated normal left ventricular function and no evidence of a prior myocardial infarction.
Comment on this ECG ?
Fifty-nine year old woman who suffered a bradycardic cardiac arrest in the setting of an acute subarachnoid hemorrhage. The patient eventually recovered and was discharged from the hospital. During her hospitalization an echocardiogram demonstrated normal left ventricular function and no evidence of a prior myocardial infarction.
Comment on this ECG ?
Sixty-five year old gentleman status post an inferior myocardial infarction fourteen years previously.
Clinical History 42
Sixty-five year old gentleman status post an inferior myocardial infarction fourteen years previously. He subsequently underwent coronary artery bypass graft surgery and is currently asymptomatic. The above electrocardiogram was performed as part of his routine follow-up evaluation.
Comment on this ECG ?
Sixty-five year old gentleman status post an inferior myocardial infarction fourteen years previously. He subsequently underwent coronary artery bypass graft surgery and is currently asymptomatic. The above electrocardiogram was performed as part of his routine follow-up evaluation.
Comment on this ECG ?
Forty-eight year old woman with insulin requiring diabetes mellitus and end stage renal disease
Clinical History 41
Forty-eight year old woman with insulin requiring diabetes mellitus and end stage renal disease who presents for an outpatient nephrology follow-up examination. Her medications included prednisone, azathioprine.furosemide, nifedipine, quinine, metolazone and warfarin. A serum calcium level was not drawn at the time of this electrocardiogram.
Comment on this ECG ?
Forty-eight year old woman with insulin requiring diabetes mellitus and end stage renal disease who presents for an outpatient nephrology follow-up examination. Her medications included prednisone, azathioprine.furosemide, nifedipine, quinine, metolazone and warfarin. A serum calcium level was not drawn at the time of this electrocardiogram.
Comment on this ECG ?
Sixty-six year old woman who presented to a local urgent care facility
Clinical History 29
Sixty-six year old woman who presented to a local urgent care facility with acute onset chest, arm, neck and jaw discomfort in the setting of dyspnea. The patient underwent a cardiac catheterization demonstrating an 80% mid left anterior descending coronary artery stenosis. Left ventricular systolic function was within normal limits. She subsequently underwent percutaneous transluminal coronary angioplasty without complication.
Comment on this ECG ?
Sixty-six year old woman who presented to a local urgent care facility with acute onset chest, arm, neck and jaw discomfort in the setting of dyspnea. The patient underwent a cardiac catheterization demonstrating an 80% mid left anterior descending coronary artery stenosis. Left ventricular systolic function was within normal limits. She subsequently underwent percutaneous transluminal coronary angioplasty without complication.
Comment on this ECG ?
Twenty-two year old woman hospitalized for inpatient evaluation
Clinical History 24
Twenty-two year old woman hospitalized for inpatient evaluation and treatment of severe depression. Her medications at the time of this electrocardiogram included nortriptyline.
Comment on this ECG ?
Twenty-two year old woman hospitalized for inpatient evaluation and treatment of severe depression. Her medications at the time of this electrocardiogram included nortriptyline.
Comment on this ECG ?
Seventy-two year old gentleman with advanced peripheral vascular disease
Clinical History 17
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.
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.
Comment on this ECG ?
Copyright © ECG Cases.
