ECG Case 151

  • Post category:ECGs

An 88-year-old woman is brought to the emergency department because of fever to 104°F associated with shaking chills. Evaluation showed a WBC count of 24,000 and evidence of pyelonephritis. She has history of chronic renal insufficiency.

Continue ReadingECG Case 151

ECG Case 150

  • Post category:ECGs

A 56-year-old woman presents to her primary doctor as an urgent care visit. She has had palpitations and chest pressure for several hours since waking. Her radial pulse is rapid and her JVP is elevated. Her lungs are clear. An ECG is obtained.

Continue ReadingECG Case 150

ECG Case 148

  • Post category:ECGs

A 64-year-old woman presents to her internist because of diffuse bone pain, fatigue, and a 20-pound weight loss. Routine blood tests showed a hematocrit of 25, a serum creatinine of 2 mg/dL.

Continue ReadingECG Case 148

ECG Case 146

  • Post category:ECGs

A 64-year-old woman with longstanding diabetes is evaluated for complaints of atypical chest discomfort (left-sided ache). She has been taking a β-blocker for hypertension. She undergoes an exercise stress test, which provokes her symptoms.

Continue ReadingECG Case 146

ECG Case 145

  • Post category:ECGs

A 56-year-old diabetic man with no known heart disease presents with near-syncope. His blood pressure is 100/60 mm Hg, and he is diaphoretic.

Continue ReadingECG Case 145

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