McGill Case 66: Difference between revisions

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(Created page with "{{McGillcase| |previouspage= McGill Case 65 |previousname= McGill Case 65 |nextpage= McGill Case 67 |nextname= McGill Case 67 }} [[File:E0007661.jpg|thumb|600px|left|The firs...")
 
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[[File:E0007662.jpg|thumb|600px|left|This tracing was taken in the intensive care unit after a temporary pacing wire (soft semi-floater) was placed via the right internal jugular vein. The lead paced the ventricle well, but the patient immediately complained of moderate chest pain, better with sitting up.]]
[[File:E0007662.jpg|thumb|600px|left|This tracing was taken in the intensive care unit after a temporary pacing wire (soft semi-floater) was placed via the right internal jugular vein. The lead paced the ventricle well, but the patient immediately complained of moderate chest pain, better with sitting up.]]
[[File:E0007663.jpg|thumb|600px|left|This was an X-ray taken the day after the insertion of the temporary pacing lead. The patient continued to have chest pain.]]
[[File:E0007664.jpg|thumb|600px|left|This cardiogram was taken at the peak of the chest pain.]]

Revision as of 01:03, 15 February 2012

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This case report is kindly provided by Michael Rosengarten from McGill and is part of the McGill Cases. These cases come from the McGill EKG World Encyclopedia.


Previous Case: McGill Case 65 | Next Case: McGill Case 67

The first tracing was recorded in the emergency room, and is from a 70 year old woman with two sycopal attacks. She was on metoprolol and diltiazem for angina {normal coronaries and an abnormal MIBI perfusion scan}.
This tracing was taken in the intensive care unit after a temporary pacing wire (soft semi-floater) was placed via the right internal jugular vein. The lead paced the ventricle well, but the patient immediately complained of moderate chest pain, better with sitting up.