Seventy-seven year old gentleman with moderate left ventricular systolic dysfunction status

Clinical History 240

Seventy-seven year old gentleman with moderate left ventricular systolic dysfunction status post two coronary artery bypass grafting procedures admitted to the hospital with recurrent congestive heart failure and newly discovered atrial flutter.
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Forty-nine year old woman with a history of rheumatic mitral valvular stenosis

Clinical History 102

Forty-nine year old woman with a history of rheumatic mitral valvular stenosis who underwent percutaneous mitral valve commissurotomy in the past. She now presents with increasing symptoms of shortness of breath, a resting tachycardia and moderately severe mitral insufficiency. Medications at the time of this electrocardiogram included verapamil, digoxin, propafenone and aspirin.
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