150 Ecg Problems Pdf
What does this record show, and what would you do? The flat T waves with obvious U waves suggest hypokalaemia.
We a drug the patient is taking. In the absence of contraindications i. Open Preview See a Problem? Provided you can be sure that this patient has no symptoms, and provided the physical examination is normal, no further action Summary is required.
PDF) ECG Problems
Summary Wolff-Parkinson-White syndrome type A. What is the arrhythmia and what would you do? Stokes-Adams attacks, associated with a slow ventricular rate. The patient should be given aspirin and intravenous heparin and nitrates.
It is essential to know what treatment the patient is already receiving. What to do A patient who has chest pain that could be angina, and who has dizziness and syncope on exertion, probably has severe aortic stenosis and this was the case with this woman. What is the probable cause of his angina, and what would you do?
What do you think has happened? The U waves could indicate hypokalaemia, but when associated with normal T waves as here they are a normal variant. However, such a sequence would not explain the stiff neck, which would seem to point See p.
150 ECG Problems E-Book (4th ed.)
She had been in heart failure, but this had been treated and she was no longer breathless. What do you think is going on? From the patient's story it seems clear that he had an infarction several weeks before he was seen, and there was nothing in the history to suggest a more recent episode.
Is it normal, and what advice would you give him? No further interpretation is possible.
Check the thyroid function. What is the diagnosis and what do you do next?
The popularity of the latter has encouraged me to include more examples of common abnormalities and also some problems for which there was previously no space. Detailed an-swers and explanations allow readers to see whether they reached the correct conclusions. His troponin level remained normal following admission so he had not had a myocardial infarction. What has the house officer missed?
The lack of a tachycardia is surprising. Standard safety precautions must be followed, but as new research and clinical experience broaden our knowledge, changes in treatment and drug therapy may become necessary or appropriate.
The patient may not have experienced anterolateral myocardial infarction. He should be taught the methods of inducing vagal activity, prentice hall algebra 2 teacher edition pdf but prophylactic drug Ill See pp. His heart rate was rapid and his blood pressure was unrecordable.
Carotid sinus pressure and adenosine may increase the degree of block, but are unlikely to convert Summary the heart to sinus rhythm. Her heart is almost certainly normal.
Want to Read Currently Reading Read. Apart from a slow pulse there were no abnormalities on examination. The marked irregularity of this rhythm must be explained by atrial fibrillation.
What does this record show and what would you do? What to do This patient clearly has an acute coronary syndrome. Ventricular extrasystoles are very common in pregnancy, and systolic murmurs are almost universal. The clinical history is not helpful, nor is the fact that the patient is haemodynamically stable.
What to do Summary The immediate risk is low and there is no evidence Anterolateral non-Q wave myocardial infarction. What does it show and what might be the problem? The surgeons want to operate as soon as possible but the anaesthe is unhappy. Does it have implications for treatment?
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