Sinoatrial Exit Block
Fig. 22.1 The figure shows the patient’s ECG when he arrived at the emergency room: it was characterized by type II sinoatrial block; biphasic T waves were present in V4,…
Chronic Heart Failure
Fig. 8.1 (a, b) Routine EKG at rest. Despite correct biventricular pacing (axis directed upper right), the QRS complex is wide. Several lead configurations have been tried assessing EKG and…
Intracranial Bleeding
Fig. 4.1 Brain axial CT showing left temporal focal bleeding Vital Signs Heart rate: 80 bpm Blood pressure: 108/80 mmHg Oxygen saturation: 98 % Physical Examination General: traumatic scalp wound…
Arrhythmogenic Right Ventricular Cardiomyopathy
Fig. 14.1 ECG sinus rhythm (heart rate 56 bpm), first-degree atrioventricular block, anterior fascicular block, incomplete right ventricular block, characteristic epsilon waves in leads V1–V4, and also inverted T-waves in…
Pericarditis
Fig. 3.1 Rest ECG showing diffuse ST elevation Cardiac echocardiography (Fig. 3.2) showed circumferential pericardial effusion and normal dimensions and function of the cardiac chambers, mild mitral regurgitation, and mild…
Early Repolarization Pattern
Fig. 6.1 EKG at rest while the patient was asymptomatic Echocardiography (Not Shown) Normal both atria size (LA diameter M-mode = 3.6 cm; area 4c = 18 cm2, RA area 4c = 16 cm2). Normal size…
Non-ST-Segment Elevation Myocardial Infarction (NSTEMI)
Fig. 2.1 ECG of patients during chest pain Echocardiography: moderate concentric hypertrophy (LV mass/BSA 135 g/m2, relative wall thickness 0.45) with preserved LV global function (estimated ejection fraction of 56…
ST Elevation Related to the Site of Coronary Occlusion
Fig. 1.1 (a, b) Patient ECG: sinus rhythm, third-grade atrioventricular block, narrow QRS escape rhythm with a heart rate of 33 bpm, ST-segment elevation in the inferior leads (DII, DIII,…
Acute Heart Failure and Pulmonary Edema
Precipitants and causes of acute heart failure syndromes (AHFSs) Rapid deterioration Gradual deterioration Rapid arrhythmias Arrhythmias Acute coronary syndromes (ACSs) Infections (including endocarditis) Mechanical complications of ACS Exacerbation of COPD/asthma…
Clinical Electrophysiology of the Cardiac Conduction System
Fig. 3.1 Chest radiographs in two projections (left panel: left anterior oblique; right panel: right anterior oblique) demonstrating placement of four bipolar electrode pair electrodes; one each in the high…
