Seventy-nine year old woman who five days prior to this electrocardiogram experienced acute onset chest discomfort
Clinical History 37
Seventy-nine year old woman who five days prior to this electrocardiogram experienced acute onset chest discomfort and an electrocardiogram consistent with an acute inferior myocardial infarction. Following her myocardial infarction convalescence a cardiac catheterization demonstrated severe three-vessel coronary artery disease. This electrocardiogram was obtained prior to anticipated coronary artery bypass graft surgery. Left ventriculography at the time of her cardiac catheterization demonstrated proximal and mid inferior wall akinesis. Her medications included metoprolol, intravenous heparin, intravenous nitroglycerin andtemazepam.
Comment on this ECG ?
Seventy-nine year old woman who five days prior to this electrocardiogram experienced acute onset chest discomfort and an electrocardiogram consistent with an acute inferior myocardial infarction. Following her myocardial infarction convalescence a cardiac catheterization demonstrated severe three-vessel coronary artery disease. This electrocardiogram was obtained prior to anticipated coronary artery bypass graft surgery. Left ventriculography at the time of her cardiac catheterization demonstrated proximal and mid inferior wall akinesis. Her medications included metoprolol, intravenous heparin, intravenous nitroglycerin andtemazepam.
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.
Comment on this ECG ?
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.
Comment on this ECG ?
Seventy-six year old gentleman with two prior coronary artery bypass graft surgeries and moderate left ventricular systolic dysfunction
Clinical History 250
Seventy-six year old gentleman with two prior coronary artery bypass graft surgeries and moderate left ventricular systolic dysfunction who returns for outpatient cardiology follow-up. The patient is being seen preoperatively prior to a planned carotid endarterectomy. His co-morbid conditions include severe chronic obstructive pulmonary disease, paroxysmal atrial fibrillation and chronic renal insufficiency. His medications included prednisone, digoxin, enalapril.furosemide and warfarin.
Comment on this ECG ?
Seventy-six year old gentleman with two prior coronary artery bypass graft surgeries and moderate left ventricular systolic dysfunction who returns for outpatient cardiology follow-up. The patient is being seen preoperatively prior to a planned carotid endarterectomy. His co-morbid conditions include severe chronic obstructive pulmonary disease, paroxysmal atrial fibrillation and chronic renal insufficiency. His medications included prednisone, digoxin, enalapril.furosemide and warfarin.
Comment on this ECG ?
Seventy-four year old gentleman with a history of hypertension, non-insulin requiring diabetes mellitus
Clinical History 249
Seventy-four year old gentleman with a history of hypertension, non-insulin requiring diabetes mellitus and hyperlipidemia who presented urgently to the hospital with severe anterior precordial chest discomfort and the above electrocardiogram. The patient underwent an urgent cardiac catheterization and percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery.
Comment on this ECG ?
Seventy-four year old gentleman with a history of hypertension, non-insulin requiring diabetes mellitus and hyperlipidemia who presented urgently to the hospital with severe anterior precordial chest discomfort and the above electrocardiogram. The patient underwent an urgent cardiac catheterization and percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery.
Comment on this ECG ?
Seventy-four year old woman who was accepted in hospital transfer after presenting earlier
Clinical History 237
Seventy-four year old woman who was accepted in hospital transfer after presenting earlier the same day with acute onset chest discomfort consistent with acute myocardial injury. Serial cardiac enzymes documented an acute myocardial infarction She continued to demonstrate post-infarction angina and was transferred for cardiac catheterization. Her cardiac catheterization demonstrated severe right coronary artery disease and a successful angioplasty was performed.
Comment on this ECG ?
Seventy-four year old woman who was accepted in hospital transfer after presenting earlier the same day with acute onset chest discomfort consistent with acute myocardial injury. Serial cardiac enzymes documented an acute myocardial infarction She continued to demonstrate post-infarction angina and was transferred for cardiac catheterization. Her cardiac catheterization demonstrated severe right coronary artery disease and a successful angioplasty was performed.
Comment on this ECG ?
Forty-five year old woman with a non-ischemic dilated cardiomyopathy who returns for an outpatient cardiac evaluation.
Clinical History 223
Forty-five year old woman with a non-ischemic dilated cardiomyopathy who returns for an outpatient cardiac evaluation. Her medications included bumetanide, potassium, captopril, digoxin, warfarin and amiodarone.
Comment on this ECG ?
Forty-five year old woman with a non-ischemic dilated cardiomyopathy who returns for an outpatient cardiac evaluation. Her medications included bumetanide, potassium, captopril, digoxin, warfarin and amiodarone.
Comment on this ECG ?
Sixty-eight year old gentleman status post recent coronary artery bypass graft surgery who returns
Clinical History 211
Sixty-eight year old gentleman status post recent coronary artery bypass graft surgery who returns for postoperative cardiac follow-up. His past cardiac history includes an anterior myocardial infarction one year prior to this electrocardiogram followed by a percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery. His medications at the time of this tracing included metformin, diltiazem, procainamide, metoprolol and simvastatin.
Comment on this ECG ?
Sixty-eight year old gentleman status post recent coronary artery bypass graft surgery who returns for postoperative cardiac follow-up. His past cardiac history includes an anterior myocardial infarction one year prior to this electrocardiogram followed by a percutaneous transluminal coronary angioplasty of the left anterior descending coronary artery. His medications at the time of this tracing included metformin, diltiazem, procainamide, metoprolol and simvastatin.
Comment on this ECG ?
Seventy-four year old woman with a prior surgical resection of squamous cell esophageal cancer
Clinical History 183
Seventy-four year old woman with a prior surgical resection of squamous cell esophageal cancer who re-presents to the hospital with increasing shortness of breath and orthopnea. An echocardiogram demonstrated a large pericardial effusion and normal left ventricular wall motion. The patient is not known to have a history of a prior myocardial infarction and no prior cardiac evaluation has been undertaken.
Comment on this ECG ?
Seventy-four year old woman with a prior surgical resection of squamous cell esophageal cancer who re-presents to the hospital with increasing shortness of breath and orthopnea. An echocardiogram demonstrated a large pericardial effusion and normal left ventricular wall motion. The patient is not known to have a history of a prior myocardial infarction and no prior cardiac evaluation has been undertaken.
Comment on this ECG ?
Seventy year old gentleman with a two day history of intermittent chest discomfort,
Clinical History 182
Seventy year old gentleman with a two day history of intermittent chest discomfort, nausea and vomiting who presented acutely to the hospital emergency room. A subsequent urgent cardiac catheterization demonstrated a 100% left anterior descending coronary artery occlusion with apical left ventricular aneurysm formation.
Comment on this ECG ?
Seventy year old gentleman with a two day history of intermittent chest discomfort, nausea and vomiting who presented acutely to the hospital emergency room. A subsequent urgent cardiac catheterization demonstrated a 100% left anterior descending coronary artery occlusion with apical left ventricular aneurysm formation.
Comment on this ECG ?
Seventy-one year old woman with acute onset chest discomfort of two hours duration who presented
Clinical History 178
Seventy-one year old woman with acute onset chest discomfort of two hours duration who presented to the emergency room The above electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal right coronary artery obstruction with thrombus. Successful acute percutaneous transluminal coronary angioplasty was performed without complication.
Comment on this ECG ?
Seventy-one year old woman with acute onset chest discomfort of two hours duration who presented to the emergency room The above electrocardiogram was obtained. An urgent cardiac catheterization demonstrated a 90% proximal right coronary artery obstruction with thrombus. Successful acute percutaneous transluminal coronary angioplasty was performed without complication.
Comment on this ECG ?
Twenty-five year old woman with insulin requiring diabetes of long-standing duration
Clinical History 173
Twenty-five year old woman with insulin requiring diabetes of long-standing duration who presents to the hospital with signs and symptoms of sinusitis. She has renal failure and is dialysis dependent. Medications at the time of this electrocardiogram included furosemide, diltiazem, insulin and clonidine.
Comment on this ECG ?
Twenty-five year old woman with insulin requiring diabetes of long-standing duration who presents to the hospital with signs and symptoms of sinusitis. She has renal failure and is dialysis dependent. Medications at the time of this electrocardiogram included furosemide, diltiazem, insulin and clonidine.
Comment on this ECG ?
Seventy-one year old woman status post a myocardial infarction twenty-five years prior
Clinical History 172
Seventy-one year old woman status post a myocardial infarction twenty-five years prior to this electrocardiogram who presents with acute onset chest discomfort. Co-morbidities include tobacco use, primary hyperthyroidism and long-standing hypertension. Serial cardiac enzyme analysis confirmed acute myocardial injury.
Comment on this ECG ?
Seventy-one year old woman status post a myocardial infarction twenty-five years prior to this electrocardiogram who presents with acute onset chest discomfort. Co-morbidities include tobacco use, primary hyperthyroidism and long-standing hypertension. Serial cardiac enzyme analysis confirmed acute myocardial injury.
Comment on this ECG ?
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.
Comment on this ECG ?
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.
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 ?
Forty-four year old gentleman with severe peripheral vascular disease admitted for lower extremity revascularization surgery
Clinical History 143
Forty-four year old gentleman with severe peripheral vascular disease admitted for lower extremity revascularization surgery. He has known coronary artery disease and is status post a myocardial infarction in the remote past, location unknown. His medications included insulin, carbamazepine, amitryptiline and warfarin.
Comment on this ECG ?
Forty-four year old gentleman with severe peripheral vascular disease admitted for lower extremity revascularization surgery. He has known coronary artery disease and is status post a myocardial infarction in the remote past, location unknown. His medications included insulin, carbamazepine, amitryptiline and warfarin.
Comment on this ECG ?
Sixty-six year old woman who underwent persantine thallium stress testing demonstrating a large area of myocardial ischemia
Clinical History 140
Sixty-six year old woman who underwent persantine thallium stress testing demonstrating a large area of myocardial ischemia. The patient subsequently underwent an angioplasty to her left anterior descending coronary artery complicated by acute closure and infarction. This electrocardiogram was obtained at the time of the percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
Sixty-six year old woman who underwent persantine thallium stress testing demonstrating a large area of myocardial ischemia. The patient subsequently underwent an angioplasty to her left anterior descending coronary artery complicated by acute closure and infarction. This electrocardiogram was obtained at the time of the percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
Sixty-three year old gentleman with non-insulin requiring diabetes mellitus referred
Clinical History 123
Sixty-three year old gentleman with non-insulin requiring diabetes mellitus referred to the cardiac arrhythmia clinic for consideration of permanent pacemaker placement. He recently was diagnosed with endocarditis related to a prior pacemaker which necessitated lead extraction. His medications included vancomycin and ceftazidime.
Comment on this ECG ?
Sixty-three year old gentleman with non-insulin requiring diabetes mellitus referred to the cardiac arrhythmia clinic for consideration of permanent pacemaker placement. He recently was diagnosed with endocarditis related to a prior pacemaker which necessitated lead extraction. His medications included vancomycin and ceftazidime.
Comment on this ECG ?
Sixty-nine year old woman admitted to the hospital with acute onset shortness of breath felt
Clinical History 96
Sixty-nine year old woman admitted to the hospital with acute onset shortness of breath felt to represent an exacerbation of her chronic obstructive pulmonary disease. Co-morbidities include hypertension, insulin requiring diabetes mellitus and renal insufficiency. Medications at the time of this electrocardiogram included inhalers, insulin and nifedipine.
Comment on this ECG ?
Sixty-nine year old woman admitted to the hospital with acute onset shortness of breath felt to represent an exacerbation of her chronic obstructive pulmonary disease. Co-morbidities include hypertension, insulin requiring diabetes mellitus and renal insufficiency. Medications at the time of this electrocardiogram included inhalers, insulin and nifedipine.
Comment on this ECG ?
Seventy-two year old gentleman with no known cardiac history
Clinical History 86
Seventy-two year old gentleman with no known cardiac history who returns for outpatient internal medicine follow-up. This electrocardiogram was obtained as part of his general health evaluation. His medications included aspirin.
Comment on this ECG ?
Seventy-two year old gentleman with no known cardiac history who returns for outpatient internal medicine follow-up. This electrocardiogram was obtained as part of his general health evaluation. His medications included aspirin.
Comment on this ECG ?
Seventy-four year old woman with acute onset’chest heaviness
Clinical History 70
Seventy-four year old woman with acute onset’ chest heaviness’ who presented to the hospital with the above electrocardiogram. A subsequent cardiac catheterization demonstrated single vessel advanced narrowing of the right coronary artery. This patient underwent successful percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
Seventy-four year old woman with acute onset’ chest heaviness’ who presented to the hospital with the above electrocardiogram. A subsequent cardiac catheterization demonstrated single vessel advanced narrowing of the right coronary artery. This patient underwent successful percutaneous transluminal coronary angioplasty.
Comment on this ECG ?
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