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.
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Nineteen year old gentleman seen preoperatively prior to intended ostium secundum atrial septal defect repair.

Clinical History 217

Nineteen year old gentleman seen preoperatively prior to intended ostium secundum atrial septal defect repair. A recent echocardiogram demonstrated a moderate sized ostium secundum atrial septal defect with left to right shunt flow, a dilated right ventricle with normal right ventricular systolic function and moderate pulmonary hypertension.
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Sixty year old gentleman with respiratoryfailure secondary to chronic obstructive pulmonary disease admitted

Clinical History 162

Sixty year old gentleman with respiratoryfailure secondary to chronic obstructive pulmonary disease admitted to the intensive care unit for mechanical ventilation and further therapy. Co-morbid conditions include congestive heart failure, non-insulin requiring diabetes mellitus and hypertension. His medications included furosemide, potassium, lisinopril and inhalers.
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Forty-eight year old gentleman with severe mitral stenosis referred for mitral valve reparative surgery

Clinical History 159

Forty-eight year old gentleman with severe mitral stenosis referred for mitral valve reparative surgery. He is on no current medications. A recent echocardiogram confirmed the presence of severe mitral stenosis, a dilated right ventricle with moderately severe systolic dysfunction, moderately severe tricuspid insufficiency and severe pulmonary hypertension.
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Sixty-six year old woman with coronary artery disease who is recently status post coronary artery bypass graft surgery

Clinical History 145

Sixty-six year old woman with coronary artery disease who is recently status post coronary artery bypass graft surgery. Her comorbidities include non-insulin requiring diabetes mellitus, hypertension, hypothyroidism and moderate restrictive lung disease. Her medications at the time of this electrocardiogram included aspirin, hydralazine, omeprazole, thyroxine, metoprolol and prednisone.
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Forty year old woman with primary pulmonary hypertension and severe right ventricular systolic dysfunction admitted

Clinical History 118

Forty year old woman with primary pulmonary hypertension and severe right ventricular systolic dysfunction admitted for further evaluation and treatment of worsening right-sided congestive heart failure. Her medications included warfarin, nifedipine, furosemide, potassium and inhaled bronchodilators.
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Forty-five year old gentleman with a history of long-term alcohol use

Clinical History 101

Forty-five year old gentleman with a history of long-term alcohol use who was admitted to the hospital with hemoptysis. An echocardiogram demonstrated severe global left ventricular systolic dysfunction with an estimated left ventricular ejection fraction of 10%. Moderately severe mitral and tricuspid regurgitation were present. Medications at the time of this tracing included furosemide, potassium, digoxin, amiodarone, warfarin and captopril.
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