150 Practice ECGs: Interpretation and Review - Part 4 docx

 150PracticeECGs 77  A67-year-oldman;nohistoryprovided. 78 150PracticeECGs:InterpretationandReview  A43-year-oldwomanwithhistoryofMIisintheemergencyroomwithlowerchest,epigastricdiscomfortnotquiteliketheheartattack pain.Wouldyouconsiderthrombolytictherapy?  150PracticeECGs 79  A73-year-oldwomanwithbloodpressure150/75andnohistoryofheartdisease.Shouldshebetreatedforisolatedsystolic hypertension? 80 150PracticeECGs:InterpretationandReview  A46-year-oldman;routineexam.Normalorabnormal?  150PracticeECGs 81  An89-year-oldwomanwithdizzinesswhenshestands. 82 150PracticeECGs:InterpretationandReview  A74-year-oldman;noclinicaldataprovided.  150PracticeECGs 83  A76-year-oldmanwithhistoryofMIandmildheartfailure.DoesthisECGtellyouanythingaboutthepatient’scoronaryanatomy? 84 150PracticeECGs:InterpretationandReview  A59-year-oldwomanwithperipheraledema,jugularvenousdistension,andaloudsystolicmurmurthatintensifieswithinspiration.  150PracticeECGs 85  A56-year-oldwomanadmittedthroughtheemergencyroom.Anyguessaboutthenatureofheracuteillness? 86 150PracticeECGs:InterpretationandReview  A70-year-oldmanwitharemotehistoryoffaintingspells.Nowintheemergencyroomwithdyspneaandfever. [...]... hypertension, obesity, and MI Now in the emergency room with pulmonary edema 92 150 Practice ECGs: Interpretation and Review part ii: Practice ECG 30  An 85-year-old man with chest pain There is a history of MI What is his prognosis? 150 Practice ECGs 93 Practice ECG 31  A 61-year-old woman with poorly controlled hypertension 94 150 Practice ECGs: Interpretation and Review Practice ECG 32  A 42 -year-old man with... provided 98 150 Practice ECGs: Interpretation and Review part ii: Practice ECG 36  A 65-year-old woman with a long history of borderline hypertension What does this ECG tell you about control of her blood pressure? 150 Practice ECGs 99 Practice ECG 37  An 86-year-old woman, annual ECG 100 150 Practice ECGs: Interpretation and Review part ii: Practice ECG 38  An 82-year-old man with fatigue and ankle... abnormality and a silent heart attack part ii: 150 Practice ECGs 95 Practice ECG 33  A 38-year-old woman with palpitations and dizziness 96 150 Practice ECGs: Interpretation and Review Practice ECG 34 An 81-year-old woman in the emergency room with chest pain What are the treating physician’s next steps? Would you consider thrombolytic therapy? part ii: 150 Practice ECGs 97 Practice ECG 35  A 73-year-old... echocardiogram Why? part ii: 150 Practice ECGs 89 Practice ECG 27  A 71-year-old woman in the emergency room A long episode of chest pain was relieved before her arrival by nitroglycerine Is angiography indicated? What would it show? 90 150 Practice ECGs: Interpretation and Review part ii: Practice ECG 28  A 79-year-old woman with mild hypertension 150 Practice ECGs 91 Practice ECG 29  A 7 4- year-old woman.. .part ii: Practice ECG 24 A 75-year-old man with a systolic murmur and heart failure What is the dominant valvular lesion? 150 Practice ECGs 87 Practice ECG 25  An 80-year-old man treated with diuretics and digoxin What lab work is needed? 88 150 Practice ECGs: Interpretation and Review Practice ECG 26  A 52-year-old man who had a 20-hour siege of indigestion a month... 2 weeks 150 Practice ECGs 101 Practice ECG 39  A 62-year-old man in the emergency room of a community hospital Before arrival, he had chest pain for 2 hours, then relief Pain has now recurred Is it too late for reperfusion therapy? 102 150 Practice ECGs: Interpretation and Review part ii: Practice ECG 40   Same patient (No 39), 2 hours after treatment with tissue plasminogen activator 150 Practice . An89-year-oldwomanwithdizzinesswhenshestands. 82 150 Practice ECGs: Interpretation and Review  A 7 4- year-oldman;noclinicaldataprovided.   150 Practice ECGs 83  A76-year-oldmanwithhistoryofMI and mildheartfailure.DoesthisECGtellyouanythingaboutthepatient’scoronaryanatomy? 84 . An85-year-oldmanwithchestpain.ThereisahistoryofMI.Whatishisprognosis? 94 150 Practice ECGs: Interpretation and Review  A61-year-oldwomanwithpoorlycontrolledhypertension.   150 Practice ECGs 95  A 42 -year-oldmanwithintermittentpalpitationssincechildhood.Hisdoctorisconcernedabouthisconductionabnormality and a silentheartattack. 96. A71-year-oldwomanintheemergencyroom.Alongepisodeofchestpainwasrelievedbeforeherarrivalbynitroglycerine.Is angiographyindicated?Whatwoulditshow?   150 Practice ECGs 91  A79-year-oldwomanwithmildhypertension. 92 150 Practice ECGs: Interpretation and Review  A 7 4- year-oldwomanwithahistoryofatrialfibrillation,diabetes,hypertension,obesity, and MI.Nowintheemergencyroomwith pulmonaryedema. 