Forty-two year old gentleman who is self-referred for evaluation of heart palpitations
Clinical History 68
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations. His medications included ibuprofen and ranitidine.
What is your spot diagnosis ?
Comment on this ECG ?
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations. His medications included ibuprofen and ranitidine.
What is your spot diagnosis ?
Comment on this ECG ?
Twenty-nine year old gentleman who presented to an outside hospital with a wide complex tachycardia
Clinical History 179
Twenty-nine year old gentleman who presented to an outside hospital with a wide complex tachycardia in the setting of perceived intermittent palpitations of one year duration. The patient was placed on intravenous procainamide and he converted to normal sinus rhythm. His resting electrocardiogram demonstrated the Wolff-Parkinson-White syndrome. He underwent successful radiofrequency ablation of his left posterior ventricular accessory pathway.
Comment on this ECG ?
Twenty-nine year old gentleman who presented to an outside hospital with a wide complex tachycardia in the setting of perceived intermittent palpitations of one year duration. The patient was placed on intravenous procainamide and he converted to normal sinus rhythm. His resting electrocardiogram demonstrated the Wolff-Parkinson-White syndrome. He underwent successful radiofrequency ablation of his left posterior ventricular accessory pathway.
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 ?
Thirty-seven year old woman with Wolff-Parkinson-White syndrome who returns for a repeat evaluation
Clinical History 168
Thirtv-seven year old woman with Wolff-Parkinson-White syndrome who returns for a repeat evaluation in the setting of medication-induced fatigue and persistent palpitations. Her medications included propranolol. The patient subsequently underwent successful radiofrequency ablation of a right ventricular posteroseptal accessory pathway.
Comment on this ECG ?
Thirtv-seven year old woman with Wolff-Parkinson-White syndrome who returns for a repeat evaluation in the setting of medication-induced fatigue and persistent palpitations. Her medications included propranolol. The patient subsequently underwent successful radiofrequency ablation of a right ventricular posteroseptal accessory pathway.
Comment on this ECG ?
Twenty-two year old gentleman seen priorto a planned radiofrequency ablation of a right anterior para-septal accessory pathway
Clinical History 149
Twenty-two year old gentleman seen priorto a planned radiofrequency ablation of a right anterior para-septal accessory pathway. He is on no current medications. The patient suffers from frequent palpitations but no pre-syncope.
Comment on this ECG ?
Twenty-two year old gentleman seen priorto a planned radiofrequency ablation of a right anterior para-septal accessory pathway. He is on no current medications. The patient suffers from frequent palpitations but no pre-syncope.
Comment on this ECG ?
Fifty-eight year old woman who is being evaluated preoperatively prior to a bilateral mastectomy
Clinical History 136
Fifty-eight year old woman who is being evaluated preoperatively prior to a bilateral mastectomy for cancer of the breast. Her cardiac history includes a normal cardiac catheterization prompted by a chest discomfort syndrome two years before this electrocardiogram. There is no clinical history of palpitations, pre-syncope or a prior myocardial infarction.
Comment on this ECG ?
Fifty-eight year old woman who is being evaluated preoperatively prior to a bilateral mastectomy for cancer of the breast. Her cardiac history includes a normal cardiac catheterization prompted by a chest discomfort syndrome two years before this electrocardiogram. There is no clinical history of palpitations, pre-syncope or a prior myocardial infarction.
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 ?
Thirty-three year old woman seen in the outpatient clinic after a recent hospitalization
Clinical History 106
Thirty-three year old woman seen in the outpatient clinic after a recent hospitalization for an asthma exacerbation. She also has a history of palpitations but no prior diagnosis of the Wolff-Parkinson-White syndrome. Medications at the time of this electrocardiogram included amitriptyline, ranitidine, aspirin and inhalers.
Comment on this ECG ?
Thirty-three year old woman seen in the outpatient clinic after a recent hospitalization for an asthma exacerbation. She also has a history of palpitations but no prior diagnosis of the Wolff-Parkinson-White syndrome. Medications at the time of this electrocardiogram included amitriptyline, ranitidine, aspirin and inhalers.
Comment on this ECG ?
Forty-two year old gentleman who is self-referred for evaluation
Clinical History 68
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations. His medications included ibuprofen and ranitidine.
Comment on this ECG ?
Forty-two year old gentleman who is self-referred for evaluation of heart palpitations. His medications included ibuprofen and ranitidine.
Comment on this ECG ?
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