ECG Case 103

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An 85-year-old man, who has had high blood pressure for many years, is seen in the outpatient department complaining of typical angina and of occasional dizziness when walking up hills. What is the diagnosis, and what would you do?

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ECG Case 102

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A 30-year-old man, who had had attacks of palpitations for several years, was seen during an attack, and this ECG was recorded. He was breathless and his blood pressure was unrecordable.

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ECG Case 101

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An 18-year-old student complains of occasional attacks of palpitations. These start suddenly without provocation; the heartbeat seems regular and is ‘too fast to count’.

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ECG Case 100

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This ECG was recorded from a 30-year-old woman with severe rheumatoid arthritis, who was admitted to hospital with central chest pain. She was a non-smoker and had no risk factors for coronary artery disease. What do you think is going on?

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ECG Case 99

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A 70-year-old man is sent to the outpatient department because of attacks of dizziness. What abnormalities does his ECG show, and what treatment is needed?

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ECG Case 98

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A 60-year-old man who complains of ankle swelling is found to have an irregular pulse, a blood pressure of 115/70, an enlarged heart, and signs of congestive cardiac failure. What does the ECG show? He is untreated – how would you manage him?

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ECG Case 97

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A 70-year-old man, who had had angina for several years, began to complain of attacks of dizziness. This is his ECG. What does it show and what would you do?

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ECG Case 96

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A 50-year-old man, who had complained of attacks of dizziness and palpitations for several years, collapsed at work and was brought to the A & E department. What's your interpretation and diagnosis?

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ECG Case 94

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A 50-year-old man was admitted to hospital as an emergency with chest pain; he was not aware of a rapid heart rate. Shortly after this ECG was recorded, his heart rate suddenly slowed and his ECG was then normal.

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