HPI
Case # 10. A 30-year-old man presents with palpitations. He has had recent URI symptoms with fevers, and currently has a low-grade temperature. He presents non-toxic in appearance and has a rapid irregular heart rate. The ECG shown below is obtained. What is the FULL ECG diagnosis, and what is the management? (4 points).
Case # 10 Answer
Sinus tachycardia with 1st degree AV block and intermittent runs of non-sustained ventricular tachycardia, Brugada syndrome. Treated with isoproterenol and referral for electrophysiology testing.
Case # 11. A 52-year-old woman presents with active chest pain and nausea. The ECG shown below is obtained. What is the FULL ECG diagnosis? (4 points).
Case # 11 Answer
Sinus rhythm with complete heart block, junctional escape rhythm, inferior STEMI, LVH with strain pattern vs. lateral ischemia
Case # 12. A 43-year-old man presents with gastroenteritis. The ECG shown below is obtained. What is the FULL ECG diagnosis? (3 points).
Case # 12 Answer
Sinus rhythm with complete heart block, accelerated junctional rhythm (isorhythmic AV dissociation), poor R wave progression [atrial rate 73, ventricular rhythm 75]
Case # 13. Describe or draw the diagnostic criteria for left anterior fascicular block and left posterior fascicular block. (4 points)
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