ECG Case 93

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This is the ECG from a 25-year-old man who complained of episodes of fast, regular, palpitations associated with breathlessness and dizziness. There were no abnormalities on examination other than a slow and irregular pulse. What is the diagnosis and how can his problem be treated?

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ECG Case 92

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A 70-year-old woman, admitted to hospital because of increasing heart failure of uncertain cause, collapsed and was found to have a very rapid pulse and a low blood pressure. This is her ECG. She recovered spontaneously. What is this rhythm, and what would you do?

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ECG Case 91

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This ECG was recorded from a 45-year-old man, who had been admitted to a coronary care unit with a myocardial infarction and who was recovering well. What is the rhythm, and what would you do?

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ECG Case 90

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A 32-year-old woman, who had had a normal pregnancy and delivery 3 months previously, was seen in the outpatient department complaining of severe breathlessness and dizziness on exertion.

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ECG Case 89

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This ECG was recorded from a 55-year-old man who was admitted to hospital as an emergency with severe central chest pain that had been present for about an hour. He was pale, cold and clammy; his blood pressure was 100/80, but there were no signs of heart failure.

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ECG Case 88

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A 30-year-old man, who had had brief episodes of palpitations for at least 10 years, was seen during an attack in the A & E department and this is his ECG. What is the rhythm, and what would you do immediately, and in the long term?

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ECG Case 86

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A 30-year-old man is seen in the A & E department with left-sided chest pain that appears to be pleuritic in nature. What does his ECG show?

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ECG Case 85

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A 70-year-old woman, who had been breathless for several months, was admitted to hospital with chest pain, and this is her ECG. What does it show and what would you do?

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ECG Case 84

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A confused 80-year-old woman was sent to hospital from a nursing home because of a collapse. No other history was available, except that she was said to be having treatment for her heart.

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