ECG Case 56
A 70-year-old man presents with dizziness when playing golf. You find that he has a systolic heart murmur. What is the diagnosis and what do you do next?
A 70-year-old man presents with dizziness when playing golf. You find that he has a systolic heart murmur. What is the diagnosis and what do you do next?
Characteristic features of Atrial Flutter are: Atrial rate around 300/min; ‘Sawtooth’ baseline; AV block (commonly 2:1, but can be 3:1, 4:1 or variable). You should always suspect atrial flutter with 2:1 block when a patient has a regular tachycardia with a ventricular rate of about 150/min.
This ECG was recorded from a 75-year-old woman who complained of attacks of dizziness. What abnormality do yo see and what is its significance?
A 20-year-old student complains of palpitations. Attacks occur about once per year. They start suddenly, his heart feels very fast and regular, and he quickly feels breathless and faint. The attacks stop suddenly after a few minutes. What's your interpretation and what would you do?
A 50-year-old man is admitted to hospital as an emergency, having had chest pain for 4 h. Apart from the features associated with pain there are no abnormal physical findings. What does this ECG show and what would you do?
This ECG was recorded from a 40-year-old man who was admitted to hospital as an emergency, with the sudden onset of the symptoms and signs of severe left ventricular failure. What does it show and what would you do?
A 70-year-old man with high blood pressure for many years, had no symptoms, and no abnormalities were detected on physical examination. This ECG was recorded during a routine follow-up appointment. Does it give any cause for concern, and if so, what would you do?
This ECG came from a 40-year-old woman who complained of palpitations, which were present when the recording was made. What abnormality does it show ?
This ECG was recorded from an 80-year-old man who complained of breathlessness and ankle swelling which had become slowly worse over the preceding few months.
A 40-year-old woman is referred to the outpatient department because of increasing breathlessness. What do this ECG show?