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Arrhythmias & resuscitation


"A 56-year-old male physician with essential hypertension, elevated blood cholesterol, and irritable bowel syndrome underwent exercise radionuclide perfusion imaging and 24-hour Holter monitor because of palpitations at rest."


"In a 36-year old long-distance runner with a history of palpitations and presyncope, an episode of sudden cardiac death occurred during competitive mountain racing."


Supraventricular extrasystoles after heart transplantation.


"A 68-year-old man presented with an incessant supraventricular tachycardia 3 months after heart transplantation..."


Case study: "Our patient was an 85-year-old man who had experienced an out-of-hospital cardiac arrest ..."


"A 35-year-old woman was referred to the arrhythmia clinic because of palpitations..."


"A37-year-old man with frequent episodes of paroxysmal atrial fibrillation refractory to antiarrhythmic therapy..."


"A47-year-old man with end-stage renal disease on hemodialysis was taking quinidine for paroxysmal atrial fibrillation and clarithromycin for presumed bronchopneumonia."


"A 12-year-old boy with the familial long-QT syndrome had an automatic cardioverter-defibrillator implanted after resuscitation from cardiac arrest"


60-year-old man experiences syncope during loud noises.


"ECG of a 41-year-old man is shown."


"A 23-year-old man was admitted to the hospital with severe heart failure and cachexia."


41-year-old woman with angina has ventricular arrhythmias that require attention.


"Bluish-grey discoloration of the face after 1 year of treatment with amiodarone..."


An 85 year-old male presents to ER from nursing home with syncope and palpitations.


"A 70-year-old woman presented with a 7-year-old Teletronics Accufix 330-801 atrial lead that demonstrated intermittent lead failure."


"61-year-old man received a pacemaker at another institution for complete atrioventricular block 9 months before..."


"A previously well and asymptomatic 6-year-old boy collapsed at school."


A 78 year-old female admitted to CCU with acute MI needs a decision about management of a ventricular arrhythmia.


"75-year-old woman with chronic refractory angina pectoris and no previous myocardial infarction..."


"A 56-year-old woman presented for an evaluation of a tremor."


Case report: "A 23-year-old man originally from Angola presented to an outlying hospital with a 1-day history of palpitations, dyspnea, and near-syncope."


"50-year-old man undergoing radiofrequency catheter ablation of a left-sided accessory pathway."


"A 28-year-old man was admitted to the Emergency Department for syncope after several hours of violent vomiting and diarrhea."


Near syncope with conduction abnormalities.


"A 36-year-old woman was referred after her son had syncopal episodes associated with a markedly prolonged QT interval, which was treated with ß-blockers and a subsequent pacemaker."


"A 72-year-old Japanese woman without known structural heart disease presented for evaluation of multiple syncopal episodes."


"Serial electrocardiograms (lead V4) were obtained in a 67-year-old man taking digoxin for paroxysmal supraventricular tachycardia."


"A37-year-old man was referred for recurrent atrial fibrillation."


"66-year-old man with an implantable cardioverter-defibrillator..."


19-year-old presented with inverted T waves in V1 through V6, incomplete right bundle branch block and epislon waves.


"This young boy (147 lb), a talented athlete, was first identified by echocardiography as having nonobstructive HCM at age 14 after a syncopal spell."


"Ventricular fibrillation in an 83-year-old man after coronary angiography."


"A two-year-old boy came to medical attention because he lost consciousness four times over a period of five months."


"A 59-year-old woman was admitted because of lethargy."


"A 73-year-old man with mild coronary artery disease and a dilated cardiomyopathy presented to the emergency room with a hemodynamically stable wide-QRS tachycardia."


"An 83-year-old woman presented with chest discomfort."


34-year-old man presents with palpitations after cardiac transplantation.


"A 36-year-old woman was admitted to a regional cardiac care center elsewhere with a history of intermittent palpitations and giddiness."


"59-year-old man with diabetes, coronary artery disease, and a cardioverter-defibrillator..."


"A 61-year-old man who had had a defibrillator implanted after a cardiac arrest in 1989 was treated with amiodarone..."


"A 65-year-old man presented with recurrent ventricular tachycardia."


"A 70-year-old man with a history of rheumatic mitral stenosis and valve replacement was admitted to our hospital because of near-syncope."


"A 71-year-old woman had recently undergone mitral-valve replacement after being treated with digoxin for 12 years for atrial fibrillation."


"A 25-year-old woman who had had a single syncopal episode two years earlier..."


"A 51-year-old man presented to the emergency room with a 30-minute history of sudden, severe, crushing retrosternal chest discomfort..."


"A 64-year-old patient presented with methicillin-sensitive staphylococcal bacteremia."


"...episodes of atrial flutter triggered spurious therapies from the implantable cardioverter-defibrillator..."


"A 43-year-old woman developed flulike symptoms for 1 week and lightheadedness."


"The boy was treated with oxygen, diuretics, digoxin, afterload reduction, and anticoagulation."


"An 84-year-old woman with a history of falling was found on the ground unable to get up."


"A19-year-old male college student with a 2-month history of palpitations associated with exercise was seen in the clinic."


"A fracture of a retention wire in an atrial J pacemaker lead..."


62-year-old woman presents with palpitations. Can you interpret the arrhythmia correctly?


"A26-year-old man was admitted to a private nursing home in December 1995 with the sudden onset of palpitations."

Edited by Donald L Vine MD

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