Seventy year old woman who presents for a general physical examination.

Clinical History 05

Seventy year old woman who presents for a general physical examination. She has a history of coronary artery obstructive disease and is status post a myocardial infarction of unknown location four years prior to this electrocardiogram. Other co-morbid conditions include extensive past tobacco use, hypertension and gastro esophageal reflux disease. Her medications at the time of this electrocardiogram included potassium, thyroxin, triamterene/hydrochlorothiazide and Naprosyn.
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Fifty-seven year old woman hospitalized with advanced congestive heart failure requiring intubation

Clinical History 133

Fifty-seven year old woman hospitalized with advanced congestive heart failure requiring intubation in the setting of severe aortic and mitral insufficiency. She underwent successful St. Jude mitral and aortic valve replacements. Medications at the time of this electrocardiogram included furosemide, enalapril, topical nitroglycerin, potassium and digoxin.
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Seventy-four year old gentleman who presents to the hospital with sudden onset anterior chest discomfort

Clinical History 114

Seventy-four year old gentleman who presents to the hospital with sudden onset anterior chest discomfort and the accompanying electrocardiogram. An urgent cardiac catheterization was followed by a percutaneous transluminal coronary angioplasty to the right coronary artery as acute thrombus was present. Medications at the time of this electrocardiogram included intravenous heparin, intravenous nitroglycerin, aspirin and metoprolol.
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Seventy-seven year old gentleman admitted with a one week history of orthopnea and progressive dyspnea upon exertion.

Clinical History 57

Seventy-seven year old gentleman admitted with a one week history of orthopnea and progressive dyspnea upon exertion. His past medical history includes long-standing non-insulin requiring diabetes mellitus, hypertension and chronic renal insufficiency. Medications at the time of this electrocardiogram included furosemide, aspirin, topical nitroglycerin and glucotrol.
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