ECG Case 123

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A 45-year-old man has had several episodes of “racing heart” over the course of the morning and a feeling like his heart was coming out of his chest. These episodes have lasted several minutes at a time, and he has felt lightheaded during a few of them. On further questioning, he states he has had similar episodes in the past.

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ECG Case 122

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A 45-year-old man with obesity, hypertension, and obstructive sleep apnea presents to the emergency department with chest pain, dyspnea, and palpitations. His symptoms began suddenly this morning. His blood pressure is 100/60 mm Hg.

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ECG Case 121

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A 57-year-old woman with a long history of untreated hypertension presents to an urgent care clinic with complaints of 1 day of palpitations.

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ECG Case 120

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A 70-year-old man with severe chronic obstructive pulmonary disease is seen in the medical walk-in clinic for increasing cough. The nurse practitioner takes his pulse and notes an irregular heart rate. He obtains an ECG.

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ECG Case 119

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A 35-year-old woman recently diagnosed on echocardiogram with a benign left atrial myxoma causing mitral regurgitation has the following ECG. She does not complain of any symptoms.

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ECG Case 118

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A 62-year-old man with an extensive history of smoking and a recent diagnosis of squamous cell carcinoma of the neck that was treated with radiation now presents with 2 weeks of intermittent dizzy spells and one episode of syncope.

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ECG Case 117

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A 52-year-old man with no known cardiac history presents to the emergency department with fatigue and dizziness. He is hypotensive with a blood pressure of 74/50 mmHg. What's your interpretation ?

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ECG Case 116

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A 50-year-old woman came to the ED because of the sudden onset of palpitations and severe breathlessness. What abnormalities do the ECG show ?

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ECG Case 115

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This ECG was recorded from a 17-year-old girl who was breathless, had marked ankle swelling with signs of right heart failure, and who had been known to have a heart murmur since birth. She was acyanotic.

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ECG Case 114

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An 80-year-old man was admitted to hospital because of a sudden onset of palpitations associated with breathlessness. He had congestive cardiac failure and a heart murmur suggestive of aortic regurgitation. What is the rhythm ?

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