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ECG

"A 49-year-old woman underwent cardiac evaluation because of an abnormal ECG."

"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."

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

Images in cardiovascular medicine. Ventricular fibrillation during swimming in a patient with long-QT syndrome.

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

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

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

Images in cardiovascular medicine. Cyclic tachycardia and hypotension.

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

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

"Serial lead V5 tracings were obtained from a 38-year-old woman with long-standing systemic lupus erythematosis, hypertension, and renal failure."

Images in cardiovascular medicine. Acute ST depressions in a patient with idiopathic hypertrophic subaortic stenosis and normal coronary arteries.

An asymptomatic 56-year-old man has deep, lateral T-wave inversion not present 2 years earlier. What might cause this chang in in electrocardiogram?

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

"A 68-year-old man presented with epigastric burning associated with exercise."

"43-year-old woman who presented with paroxysmal tachycardia and progressive heart failure."

Supraventricular extrasystoles after heart transplantation.

"A 36-year-old, previously healthy male who was a heavy smoker was admitted with intermittent chest pain of 4 hours' duration and ECG findings compatible with an acute anterior wall myocardial infarction."

42-year-old woman presented with transient neurologic episodes and a giant right ventricle.

"48-year-old man with a two-hour history of chest pain and dyspnea."

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

"A 56-year-old woman with pectus excavatum presented with a 2-year history of increasing chest pain only while she was lying on her right side."

62-year-old woman with mitral stenosis needs mitral valve surgery.

"This 34-year-old female patient came to the ambulatory clinic complaining of a few subcutaneous nodular lesions in both thighs."

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

"Physical and radiographic examinations showed skeletal hand malformations."

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

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

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

"On admission, the patient complained of chest discomfort."

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

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

"A38-year-old black man with a history of hypertension was admitted with a sudden onset of severe retrosternal chest pain radiating to his back."

Misleading electrocardiographic results in patient with hyperkalaemia and diabetic ketoacidosis.

54-year-old female develops a ventricular arrhythmia two days after coronary bypass surgery.

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

60 year old with dyspnea, palpitations and angina.

61-year-old man with Ebstein's anomaly presented with palpitations and chest pain.

ST Depression V1 V2: Anterior Ischemia or Posterior Infarction?

"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."

"44-year-old woman with shortness of breath and metastatic carcinoma of unknown primary."

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

Near syncope with conduction abnormalities.

"An 85-year-old man presented for cardiac evaluation before urological surgery with a long history of intermittent stiffness and discomfort in the dorsal spine."

"A healthy 38-year-old white man with no significant past medical history was referred for cardiac evaluation because of an abnormal ECG."

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

"Four weeks after undergoing surgery to remove an intraventricular meningioma, a 64-year-old woman had recurrent episodes of dyspnea and hypotension."

Edited by Donald L Vine MD

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