Thoracic Key

Fig. 24.1 ECG performed at hospital admission Sinus rhythm, heart rate 95 bpm, normal atrioventricular conduction (PQ 150 ms), cardiac electrical axis +60°, and coved-type ST-segment elevation about 4 mm,…

Fig. 13.1 Routine ECG. Notice the normal sinus rhythm without abnormalities in conduction or repolarization Chest X-Ray A chest x-ray was performed too (Fig. 13.2): cardiac shadow was slightly enlarged…

Fig. 12.1 Rest EKG performed in hospital Conclusions: sinus rhythm, normal atrioventricular conduction, counterclockwise rotation on horizontal axis, low voltages on limb leads, and diffuse nonspecific alterations in repolarization Routine…

Fig. 18.1 (a–d) Rest ECG showing a wide complex tachycardia What are the possible types of wide QRS complex tachycardia? Ventricular tachycardia (VT) Supraventricular tachycardia with aberrant AV conduction Atrial…

Fig. 5.1 EKG at rest while the patient was symptomatic Routine Laboratory Tests Complete blood count: normal Renal function: creatinine 0.8 mg/dl (normal) Hepatic function (GOT, GPT, y-GT, ALP, total bilirubin,…

Fig. 17.1 Transesophageal echocardiography showing two physiologic jets due to lavage volume Fig. 17.2 Transesophageal echocardiography showing the perivalvular leakage due to dehiscence of the prosthesis Final Diagnosis Acute heart…

Fig. 16.1 Echocardiography, four-chamber view. From left to right: two-dimensional imaging shows thickened mitral leaflet with posterior leaflet prolapse (arrow). Color Doppler shows severe eccentric mitral regurgitation swirling toward interatrial…

Fig. 10.1 12-lead ECG in atrial fibrillation with biventricular pacing Although the patient’s heart failure symptoms improved from NYHA classes III to II and biventricular pacing achieved a success rate…

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…