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Cardiology Case Scenarios with Explanations:
Case # 1: 59 yr old man with HTN, CAD and bypass surgery 2 years earlier, complicated by post-operative atrial fibrillation. Presents now with palpitations and pre-syncope.
Case # 2: This is a routine preoperative ECG taken on a 66 year old woman scheduled for cataract surgery. She denies all cardiovascular symptoms.
Case # 3: A 69 year old man with substernal chest discomfort. BP 70 mm Hg. History of HTN.
Case 4: A 57 yr old woman is seen urgently for chest pain of two hours duration. The pain is mild, continuous, aching and localized to the left upper chest and shoulder. No previous cardiovascular problems.
Case 5: A 75 year old woman is seen in the emergency room because of progressive dyspnea over a period of three days Her examination confirms the presence of congestive heart failure with bilateral crackles, elevated jugular venous pressure and bilateral 1+ edema.
Case 6: A 46 year old man with right shoulder pain and dyspnea. History of alcoholism. No prior cardiopulmonary disease history.
Case 7: A previously healthy 67 year old carpenter with dyspnea and chest pressure of 24 hours duration.
Case: 8: A 79 year old woman presents with substernal chest pain. History of hyperlipidemia. She had a narrow QRS on an ECG in 1986.
Case 9: A 54 year old woman undergoing chemotherapy for bronchio-alveolar carcinoma. Two years previous underwent emergency pericardiocentesis for cardiac tamponade (malignant effusion). Complaining of rapid palpitations.
Case 10: A 59 year old man with a 9 year history of palpitations. Had a recent syncopal episode.
ECG of the week ~ A 40 year old man brought into the emergency room in a collapsed state. new
ECG of the Week ~ 23 year apparently healthy boy with sudden onset right sided chest pain
ECG of the week ~ 86 year old male with cough and wheeze having feeling of skipped beats
ECG of the Week ~ 25y male with palpitations, There was no syncope or history of cardiac disease, no history of drug use.
Left Bundle Branch Block (LBBB)- ECG Findings
Right Bundle Branch Block (RBBB) - ECG Findings
Brugada Criteria ~ Approach to the Wide Complex Tachycardia