ECG Case 144

  • Post category:ECGs

A 57-year-old woman presents to the emergency department with symptoms of chest pressure at rest, lasting for about 1 hour. She has a history of left main coronary artery stenosis as well as three-vessel disease for which she underwent bypass surgery 4 years ago.

Continue ReadingECG Case 144

ECG Case 143

  • Post category:ECGs

A 41-year-old woman with advanced familial hypertrophic cardiomyopathy is admitted to the hospital with syncope. The woman is hemodynamically stable but has a heart rate of 40 bpm.

Continue ReadingECG Case 143

ECG Case 142

  • Post category:ECGs

A 72-year-old man with past myocardial infarction, a left ventricular ejection fraction of 30%, and prior episodes of heart failure presents with intermittent palpitations. The following ECG is obtained while the patient is having symptoms.

Continue ReadingECG Case 142

ECG Case 141

  • Post category:ECGs

A 36-year-old woman with primary pulmonary hypertension is seen in her physician’s office after initiation of pulmonary vasodilator therapy. She is found to be tachycardic with an irregularly irregular heart rate.

Continue ReadingECG Case 141

ECG Case 139

  • Post category:ECGs

A 75-year-old woman presents to the emergency department following 2 hours of chest discomfort. She states that the central chest pressure began suddenly while she was watching TV after dinner.

Continue ReadingECG Case 139

ECG Case 138

  • Post category:ECGs

A 14-year-old girl with known unrepaired ventricular septal defect presents with cyanosis, sudden-onset dyspnea and palpitations.

Continue ReadingECG Case 138

ECG Case 137

  • Post category:ECGs

A 91-year-old woman presents to the emergency department with worsening symptoms of dyspnea, orthopnea, lightheadedness, and lower extremity edema. Her blood pressure is 100/70 mm Hg.

Continue ReadingECG Case 137

ECG Case 136

  • Post category:ECGs

A 63-year-old man with diabetes, hypertension, and 6 months of intermittent exertional substernal chest pressure undergoes an exercise stress test. An ECG is obtained at peak exercise.

Continue ReadingECG Case 136