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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ECG Case 113

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A 30-year-old woman complains of episodes of palpitations associated with dizziness and breathlessness. These begin and stop suddenly. She has had them for many years, but they are becoming more frequent and more severe.

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ECG Case 112

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This ECG was recorded from a 40-year-old man who was admitted to hospital after collapsing in a supermarket. By the time he was seen he was well, and there were no abnormal physical signs.

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ECG Case 111

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This ECG was recorded from a 15-year-old boy who collapsed while playing football. His brother had died suddenly. What does the ECG show and what clinical possibilities should be considered?

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ECG Case 108

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A 35-year-old white man is seen in the outpatient department complaining of chest pain on exertion, sometimes with exertion-induced dizziness, and this is his ECG.

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ECG Case 107

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A 25-year-old woman, who had had episodes of what sound like a paroxysmal tachycardia for 10 years, produced this ECG when seen during an attack. What is the rhythm, and what is the underlying problem?

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ECG Case 106

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This ECG was recorded from a 60-year-old man admitted to hospital with severe heart failure and a heart murmur. What does it show and what would you do?

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