Clinical History 14
Seventy-two year old woman with advanced emphysema referred for possible lung reduction surgery. An echocardiogram performed three years prior to this electrocardiogram demonstrated normal left ventricular systolic function. By history there was no evidence of a prior myocardial infarction. Medications at the time of this electrocardiogram included theophylline and inhaled bronchodilators.
Comment on this ECG ?
. Clinical History 39 . Sixty-five year old woman with a history of hypertension and chronic obstructive pulmonary disease who presents to the emergency room with a recent history of generalized weakness and exertional dyspnea. Her medications included inhalers, lisinopril and furosemide. By history she has not suffered a myocardial infarction. . Comment on this … Continue reading
. linical History 38 Forty-three year old gentleman admitted in urgent hospital transfer after a one day history of acute chest discomfort. The patient was taken urgently to the cardiac catheterization laboratory where a 90% mid left anterior descending coronary artery stenosis involving a second diagonal branch was present. The patient underwent successful angioplasty and … Continue reading
. Clinical History 36 Sixty-one year old gentleman with ischemic heart disease, severe left ventricular systolic dysfunction and prior coronary artery bypass graft surgery who presents for cardiology clinic follow-up. Co-morbid conditions include severe peripheral vascular disease and hyperlipidemia. His medications included warfarin, lisinopril, digoxin and furosemide. . Comment on this ECG ? . .
. Clinical History 35 . Thirty-four year old gentleman seen in the Internal Medicine department for a routine physical examination. He has no prior cardiac history and remains in excellent health. . Comment on this ECG ? . .
. Clinical History 33 Forty-five year old gentleman who presented to an outside emergency room with a one-half hour history of acute chest discomfort radiating to both shoulders and hands. The patient underwent urgent cardiac catheterization which demonstrated a 100% proximal right coronary artery occlusion with superimposed thrombus. The patient underwent successful percutaneous transluminal coronary … Continue reading
. Clinical History 32 Sixty-six year old woman who was scheduled for an elective stress test at which time the above electrocardiogram was obtained. She was admitted to the hospital to exclude acute myocardial injury. Acute myocardial injury was excluded and subsequent stress testing suggested myocardial ischemia. A cardiac catheterization was performed demonstrating normal left … Continue reading
. Clinical History 31 Forty-seven year old gentleman who presented to an outside medical facility with an electrocardiogram consistent with an acute inferior myocardial infarction. He received urgent thrombolytic therapy and was accepted in hospital transfer for cardiac catheterization. Co-morbid conditions included long-term tobacco use and hypercholesterolemia. A cardiac catheterization demonstrated severe right coronary artery … Continue reading
Clinical History 30 Twenty-nine year old gentleman referred for aortic valve surgery in the setting of severe aortic insufficiency secondary to aortic valve prolapse. He is on no current medications. Transesophageal echocardiography demonstrated a bicuspid aortic valve. The patient subsequently underwent successful aortic valve repair. . Comment on this ECG ? . .
Clinical History 29 Sixty-six year old woman who presented to a local urgent care facility with acute onset chest, arm, neck and jaw discomfort in the setting of dyspnea. The patient underwent a cardiac catheterization demonstrating an 80% mid left anterior descending coronary artery stenosis. Left ventricular systolic function was within normal limits. She … Continue reading