Case Study 1

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  • Case Study 1.

    57 year old female with a history of HTN (hypertension) and uncontrolled diabetes presents to the ER with increasing palpitations, nausea and overall weakness. Her ECG is shown next.

  • Case Study 2.

    47 year old male who is direct admission from a rural community hospital has been admitted for a missed NSTEMI. He had an angiogram & was discharged with no complications. He later returns to the rural community hospital with excruciating pain 10/10 non-radiating chest discomfort. ECG changes were noted and he was give TNK (Tenecteplase; an enzyme used as a thrombolytic drug). He is readmitted and transferred back to the city hospital. The patient is still complaining of 7/10 sharp left sided chest pain which increases with coughing/deep breathing. Blood pressure is 136/72mmHg and temperature is 38 degrees Celsius. Patient has a saline lock. He is short of breath when laying down. Oxygen is at 2 liters per NC with O2 saturation at 94%. He has good air entry with clear lungs. He does have intermittent extra heart sound in the LSI when he leans forward. While the ECG is being preformed, patient is given one Nitro Spray which is ineffective.

    After ECG patient complains of increasing SOB & is restless. Left-sided and mid-sternal chest pain is now at a 9/10. Upon Assessment lungs remain sounding clear but slightly decreased heart sounds are not muffled, HR is 126 BPM and BP is 79/54mmHg. Pulse is weaker.

  • Case Study 3a.

    18 year old attends her clinic appointment but complains of paroxysmal palpitations. These episodes are known to occur for seconds to minutes and are accompanied by light-headedness, diaphoresis and occasional chest pain.

  • Case Study 3b.

    66 year old male presents to ER with a cough and chest pain upon further assessment an ECG was ordered.

  • Case Study 3b Correct Lead Placement.

  • Case Study 4.

    45 year old male comes for an outpatient routine ECG from his GPs office. He isn’t complaining of any symptoms other than a slight chest pressure.

  • Case Study 5a.

    65 Year old Patient arrives with EMS due to a racing heart & SOB. Their past medical history consists of end stage COPD with respiratory failure. He is immediately rolled into resus room and later admitted to ICU.

  • Case Study 5b.

    An overdose meth patient is brought in by EMS. Their ECG is shown next.

  • Case Study 5c.

    66 year old patient comes to the outpatient ECG lab/clinic needing a STAT ECG. She has been complaining of SOB, fatigued and general weakness.

  • Case Study 6.

    57 year old patient brought in to Emergency due to syncopal episodes/falls. Upon assessment patient explains they all of a sudden feel fatigued, weak on their feet, shaky and dizzy before fully losing consciousness. They do not recollect anything after. Their past medical history includes Lyme disease and IBS (irritable bowel syndrome). An ECG is requested.

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