Sixty-eight year old gentleman with recent symptoms of accelerating angina pectoris
sClinical History 244
Sixty-eight year old gentleman with recent symptoms of accelerating angina pectoris in the setting of previously diagnosed coronary artery disease. He suffered a myocardial infarction of unknown location twenty-one years priorto this electrocardiogram. A subsequent cardiac catheterization six years priorto this tracing demonstrated an occluded left anterior descending coronary artery with the remainder of the coronary arteries demonstrating diffuse moderate obstruction. The patient was managed medically and at the time of this electrocardiogram was taking aspirin and isosorbide mononitrate.
Comment on this ECG ?
Sixty-eight year old gentleman with recent symptoms of accelerating angina pectoris in the setting of previously diagnosed coronary artery disease. He suffered a myocardial infarction of unknown location twenty-one years priorto this electrocardiogram. A subsequent cardiac catheterization six years priorto this tracing demonstrated an occluded left anterior descending coronary artery with the remainder of the coronary arteries demonstrating diffuse moderate obstruction. The patient was managed medically and at the time of this electrocardiogram was taking aspirin and isosorbide mononitrate.
Comment on this ECG ?
Twenty-six year old woman with supraventricular tachycardia
Clinical History 230
Twenty-six year old woman with supraventricular tachycardia who subsequently underwent electrophysiology study and radiofrequency ablation of the slow atrioventricular nodal pathway with resolution of atrioventricular nodal re-entry tachycardia.
Comment on this ECG ?
Twenty-six year old woman with supraventricular tachycardia who subsequently underwent electrophysiology study and radiofrequency ablation of the slow atrioventricular nodal pathway with resolution of atrioventricular nodal re-entry tachycardia.
Comment on this ECG ?
Thirty-nine year old gentleman referred for a cardiac catheterization in the setting
Clinical History 224
Thirty-nine year old gentleman referred for a cardiac catheterization in the setting of acute chest discomfort onset and suspected acute myocardial injury. His cardiac catheterization demonstrated an advanced stenosis of the right coronary artery. The patient underwent successful percutaneous transluminal rotational atherectomy of the distal right coronary artery. The electrocardiogram remained unchanged both before and after the procedure.
Comment on this ECG ?
Thirty-nine year old gentleman referred for a cardiac catheterization in the setting of acute chest discomfort onset and suspected acute myocardial injury. His cardiac catheterization demonstrated an advanced stenosis of the right coronary artery. The patient underwent successful percutaneous transluminal rotational atherectomy of the distal right coronary artery. The electrocardiogram remained unchanged both before and after the procedure.
Comment on this ECG ?
Sixty-five year old woman with a recent myocardial infarction of unknown location accepted
Clinical History 219
Sixty-five year old woman with a recent myocardial infarction of unknown location accepted in transfer from an outside hospital with symptoms of angina pectoris. A cardiac catheterization demonstrated an 80% proximal left anterior descending coronary artery stenosis and a 90% mid right coronary artery stenosis. The patient was subsequently referred for coronary artery bypass graft surgery.
Comment on this ECG ?
Sixty-five year old woman with a recent myocardial infarction of unknown location accepted in transfer from an outside hospital with symptoms of angina pectoris. A cardiac catheterization demonstrated an 80% proximal left anterior descending coronary artery stenosis and a 90% mid right coronary artery stenosis. The patient was subsequently referred for coronary artery bypass graft surgery.
Comment on this ECG ?
Sixty-three year old gentleman with an inferoposterior myocardial infarction six years prior to this electrocardiogram
Clinical History 210
Sixty-three year old gentleman with an inferoposterior myocardial infarction six years prior to this electrocardiogram who is admitted to the hospital for evaluation of recurrent ventricular dysrhythmias. The patient is on no current medications. A recent echocardiogram demonstrated moderate regional left ventricular systolic dysfunction with inferoposterior segment akinesis.
Comment on this ECG ?
Sixty-three year old gentleman with an inferoposterior myocardial infarction six years prior to this electrocardiogram who is admitted to the hospital for evaluation of recurrent ventricular dysrhythmias. The patient is on no current medications. A recent echocardiogram demonstrated moderate regional left ventricular systolic dysfunction with inferoposterior segment akinesis.
Comment on this ECG ?
Seventy-three year old gentleman who is being seen in the cardiology outpatient clinic at the time
Clinical History 205
Seventy-three year old gentleman who is being seen in the cardiology outpatient clinic at the time of this electrocardiogram. His past cardiac history includes severe global left ventricular systolic dysfunction, severe mitral insufficiency and mild tricuspid insufficiency in the setting of mild coronary artery disease. Co-morbid conditions include chronic obstructive pulmonary disease and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included enalapril, digoxin, furosemide and amiodarone.
Comment on this ECG ?
Seventy-three year old gentleman who is being seen in the cardiology outpatient clinic at the time of this electrocardiogram. His past cardiac history includes severe global left ventricular systolic dysfunction, severe mitral insufficiency and mild tricuspid insufficiency in the setting of mild coronary artery disease. Co-morbid conditions include chronic obstructive pulmonary disease and paroxysmal atrial fibrillation. Medications at the time of this electrocardiogram included enalapril, digoxin, furosemide and amiodarone.
Comment on this ECG ?
Sixty-six year old gentleman with advanced coronary artery disease and prior coronary artery bypass graft surgery.
Clinical History 201
Sixty-six year old gentleman with advanced coronary artery disease and prior coronary artery bypass graft surgery. He has severe left ventricular systolic dysfunction. He now returns for a follow-up cardiac evaluation. He currently complains of fatigue but otherwise feels well. Medications at the time of this electrocardiogram included digoxin, furosemide, isosorbide mononitrate and amiodarone.
Comment on this ECG ?
Sixty-six year old gentleman with advanced coronary artery disease and prior coronary artery bypass graft surgery. He has severe left ventricular systolic dysfunction. He now returns for a follow-up cardiac evaluation. He currently complains of fatigue but otherwise feels well. Medications at the time of this electrocardiogram included digoxin, furosemide, isosorbide mononitrate and amiodarone.
Comment on this ECG ?
Seventy-six year old woman with a history of hypertension
Clinical History 198
Seventy-six year old woman with a history of hypertension who received a preoperative electrocardiogram priorto subsequent gynecologic surgery. She has no known prior cardiac history.
Comment on this ECG ?
Seventy-six year old woman with a history of hypertension who received a preoperative electrocardiogram priorto subsequent gynecologic surgery. She has no known prior cardiac history.
Comment on this ECG ?
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 ?
Sixty-seven year old gentleman with a history of coronary artery disease and stable angina pectoris
Clinical History 185
Sixty-seven year old gentleman with a history of coronary artery disease and stable angina pectoris who returns for cardiology follow-up. His medications included diltiazem, gemfibrozil and aspirin. A recent stress echocardiogram was negative for inducible myocardial ischemia.
Comment on this ECG ?
Sixty-seven year old gentleman with a history of coronary artery disease and stable angina pectoris who returns for cardiology follow-up. His medications included diltiazem, gemfibrozil and aspirin. A recent stress echocardiogram was negative for inducible myocardial ischemia.
Comment on this ECG ?
Thirty-eight year old gentleman with acute onset chest discomfort felt non-cardiac
Clinical History 177
Thirty-eight year old gentleman with acute onset chest discomfort felt non-cardiac and most likely musculoskeletal in origin. He has no known prior health problems.
Comment on this ECG ?
Thirty-eight year old gentleman with acute onset chest discomfort felt non-cardiac and most likely musculoskeletal in origin. He has no known prior health problems.
Comment on this ECG ?
Seventy-four year old woman who is being seen in the breast clinic. Her past medical history includes hypertension,
Clinical History 176
Seventy-four year old woman who is being seen in the breast clinic. Her past medical history includes hypertension, atrial fibrillation and mitral valve prolapse. Her medications included propafenone, triamterene/hydrochlorothiazide and atenolol. Her serum electrolytes were normal at the time of this electrocardiogram.
Comment on this ECG ?
Seventy-four year old woman who is being seen in the breast clinic. Her past medical history includes hypertension, atrial fibrillation and mitral valve prolapse. Her medications included propafenone, triamterene/hydrochlorothiazide and atenolol. Her serum electrolytes were normal at the time of this electrocardiogram.
Comment on this ECG ?
Twenty-two year old woman with symptomatic palpitations who underwent a successful radiofrequency catheter ablation
Clinical History 175
Twenty-two year old woman with symptomatic palpitations who underwent a successful radiofrequency catheter ablation of a right posteroseptal accessory pathway. This electrocardiogram was obtained priorto her radiofrequency ablation.
Comment on this ECG ?
Twenty-two year old woman with symptomatic palpitations who underwent a successful radiofrequency catheter ablation of a right posteroseptal accessory pathway. This electrocardiogram was obtained priorto her radiofrequency ablation.
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-five year old woman with valvular heart disease who is recently status post mitral valve reparative surgery
Clinical History 169
Forty-five year old woman with valvular heart disease who is recently status post mitral valve reparative surgery for mitral insufficiency and a septal myectomy for hypertrophic obstructive cardiomyopathy. Her medications included metoprolol, furosemide, warfarin and atorvastatin.
Comment on this ECG ?
Forty-five year old woman with valvular heart disease who is recently status post mitral valve reparative surgery for mitral insufficiency and a septal myectomy for hypertrophic obstructive cardiomyopathy. Her medications included metoprolol, furosemide, warfarin and atorvastatin.
Comment on this ECG ?
Forty-six year old woman referred for evaluation of suspected long-standing pulmonic stenosis
Clinical History 167
Forty-six year old woman referred for evaluation of suspected long-standing pulmonic stenosis. She is on no medications. A recent echocardiogram demonstrated mild pulmonic stenosis and otherwise was normal.
Comment on this ECG ?
Forty-six year old woman referred for evaluation of suspected long-standing pulmonic stenosis. She is on no medications. A recent echocardiogram demonstrated mild pulmonic stenosis and otherwise was normal.
Comment on this ECG ?
Eighty year old gentleman with severe aortic stenosis who is awaiting aortic valve surgery.
Clinical History 151
Eighty year old gentleman with severe aortic stenosis who is awaiting aortic valve surgery. A recent echocardiogram demonstrated normal left ventricular systolic function without evidence of a prior myocardial infarction. His medications at the time of this electrocardiogram included fosinopril, aspirin and a multi-vitamin.
Comment on this ECG ?
Eighty year old gentleman with severe aortic stenosis who is awaiting aortic valve surgery. A recent echocardiogram demonstrated normal left ventricular systolic function without evidence of a prior myocardial infarction. His medications at the time of this electrocardiogram included fosinopril, aspirin and a multi-vitamin.
Comment on this ECG ?
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department
Clinical History 139
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department for a follow-up evaluation. He has no cardiac history and is on no cardiac medications.
Comment on this ECG ?
Fifty-six year old gentleman with rheumatoid arthritis who is seen in the outpatient department for a follow-up evaluation. He has no cardiac history and is on no cardiac medications.
Comment on this ECG ?
Thirty-two year old gentleman with a history of hepatitis and alcohol use
Clinical History 137
Thirty-two year old gentleman with a history of hepatitis and alcohol use who presents for further evaluation of dyspnea Medications at the time of this electrocardiogram included enalapril.furosemide and a multi-vitamin.
Comment on this ECG ?
Thirty-two year old gentleman with a history of hepatitis and alcohol use who presents for further evaluation of dyspnea Medications at the time of this electrocardiogram included enalapril.furosemide and a multi-vitamin.
Comment on this ECG ?
Forty-five year old gentleman with a recent history of documented atrial fibrillation
Clinical History 125
Forty-five year old gentleman with a recent history of documented atrial fibrillation in the setting of the WoIff - Parkinson-White syndrome. He underwent successful radiofrequency ablation of a left posterolateral accessory pathway shortly after this electrocardiogram was obtained.
Comment on this ECG ?
Forty-five year old gentleman with a recent history of documented atrial fibrillation in the setting of the WoIff - Parkinson-White syndrome. He underwent successful radiofrequency ablation of a left posterolateral accessory pathway shortly after this electrocardiogram was obtained.
Comment on this ECG ?
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