Forty-three year old gentleman with a six day history of abrupt onset fever and chills, pruritic rash and headache

Clinical History 156

Forty-three year old gentleman with a six day history of abrupt onset fever and chills, pruritic rash and headache. The patient was seen in the emergency room and subsequently admitted to the hospital. This tracing represented his admission electrocardiogram. His admission serum calcium level was not elevated at 8.9 mg/dl. His serum protein and albumin were both within normal limits.
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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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Fifty year old gentleman with recently diagnosed multiple myeloma

Clinical History 116

Fifty year old gentleman with recently diagnosed multiple myeloma and a serum calcium level of 13.1 mg/dl
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Fifty-six year old gentleman with severe left ventricular systolic dysfunction

Clinical History 103

Fifty-six year old gentleman with severe left ventricular systolic dysfunction, mild coronary artery disease and a suspected nonischemic cardiomyopathy accepted in transfer from an outside hospital for management of both recurrent atrial and ventricular dysrhythmias. His medications at the time of this electrocardiogram included furosemide, captopril, potassium, digoxin and lidocaine.
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Sixty-two year old gentleman with recent symptoms of accelerating angina pectoris

Clinical History 75

Sixty-two year old gentleman with recent symptoms of accelerating angina pectoris with a subsequent cardiac catheterization demonstrating severe multi-vessel coronary artery disease. This electrocardiogram was obtained priorto anticipated near future coronary artery bypass graft surgery. His cardiac catheterization demonstrated evidence of an age indeterminate inferior myocardial infarction. Medications at the time of this electrocardiogram included metoprolol.furosemide, digoxin, topical nitroglycerin and captopril.
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Seventy-two year old gentleman with severe coronary artery disease and severe left ventricular systolic dysfunction

Clinical History 19

Seventy-two year old gentleman with severe coronary artery disease and severe left ventricular systolic dysfunction who presents for a follow-up cardiac evaluation. Co-morbid conditions include peripheral vascular disease, insulin requiring diabetes mellitus and hypertension. His medications at the time of this electrocardiogram included captopril, isosorbide mononitrate, furosemide, warfarin, topical nitroglycerin, insulin and digoxin.
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Forty year old gentleman with renal failure secondary to chronic pyelonephritis awaiting renal transplant

Clinical History 16

Forty year old gentleman with renal failure secondary to chronic pyelonephritis awaiting renal transplant. His calcium level at the time of this electrocardiogram was greater than 11 mg/dl.
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