Case reports from Michael Rosengarten
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Conduction Abnormalities
Intraventricular conduction defect
- A 70 year old woman with recurrent ventricular tachycardia and a severe intra-ventricular conduction defect.
- A 62 year old man with a severe intra-ventricular conduction defect simulating ventricular bigemini.
Right Bundle Branch Block
- An elderly man with RBBB and possible LPHB.
- An elderly man with RBBB and atrial flutter.
- A patient with PACs conducted with a RBBB.
- A patient with a RBBB and PACs.
- A patient with a RBBB secondary to massive Pulmonary embolism.
- A 35 yr. old patient with possible Chagas disease induced right bundle branch block.
Left Bundle Branch Block
- Recordings of rate dependent left bundle branch block.
- Case two.
- Left bundle branch block and first degree A/V block.
Left Anterior Fasicular Block
- Case one (in the setting of an acute anterior wall MI)
- in a middle aged man with first degree block.
- an 80 year old man.
- A 77 year old man with previous myocardial infarction.
Left Posterior Fasicular Block
Bifasicular block
Right bundle branch block with left anterior hemi-block
- In a 41 year old patient who had had surgical correction of Tetalogy of Fallot.
- With possible RVH.
- In a patient with atrial fibrillation.
- In a elderly man with possible left atrial abnormality.
- 54 year old man with a heart transplant.
Right bundle branch block with left posterior hemi-block
- A patient on the hospital ward with RBBB, Left Posterior Hemiblock, criteria for LAA and RAA.
- An elderly woman with a history of ventricular tachycardia
Alternating Bundle Branch Block
Trifasicular block
A/V Blocks
First degree block:
- A 77 year old man with previous myocardial infarction.
- A 63 year old man
- second case
- third case
- In a middle aged man with LAFB
- In a 20 year old woman with Ebstien's anomaly
- In an 87 year old man with a VVI pacemaker
Second degree block
Mobitz I
Mobitz II
- A patient with MobitzII A/V block post pacemaker implant for syncope
- From a Holter recording from a middle aged woman, also shows 2:1 block
Complete heart block
- Complete heart block detected with a Reveal implantable monitor.
- A 65 year old woman with tiredness and difficulty walking. The EKG shows complete heart block.
- An 85 year old patient with previous trifasicular block
Sinus Node Block:
- A middle aged woman treated for atrial fibrillation with a possible sinus node exit block (Mobitz 1)
Arrhythmias
Supraventricular Arrhythmias
Sinus pauses
Premature atrial complexes
Atrial fibrillation
- Atrial fibrillation in a patient with a RBBB and LAHB
- Atrial fibrillation in an elderly man
- A 64 year old woman with atrial fibrillation and left ventricular hypertrophy
- A 84 year old woman
- Case three with a first EKG showing left atrial abnormality and a second with atrial fibrillation
Supraventricular Tachycardia
Without block
With block
- Supraventricular tachycardia with block in a woman in her fifties.
- A 72 year old man with supraventricular tachycardia with block or slow atrial flutter.
- Supraventricular tachycardia/flutter with increased ventricular response after IV diltiazem.
- A tracing from an 80 year old man post aortic valve replacement.
- A 12 lead EKG from a 72 year old man with supraventricular tachycardia with 2:1 block.
- An elederly woman with a mitral valve replacement.
Atrial Flutter
- Atrial flutter with 4:1 block and RBBB.
- Supraventricular tachycardia/flutter with increased ventricular response after IV diltiazem.
- A wide complex tachycardia (atrial flutter with 1:1 conduction) in a patient with corrected Tetralogy of Fallot. Recorded with a loop monitor.
- A case of tachy-brady syndrome. The recording is from a loop recorder and shows atrial flutter followed by asystole.
- A patient in the hospital with atrial flutter and a slow ventricular response.
- A 65 year old man'
- A man in his 50's before and after adenosine.
Nodal Rhythm:
- Three ECGs (0ne of which is nodal rhythm ) and X-ray from a patient with syncope and chest pain.
- Accelerated nodal rhythm
- Nodal rhythm in a woman in her fifties.
- Accellerated nodal rhythm in a woman in her seventies.
Wolf Parkinson White
Other atrial rhythms
Ventricular Arrhythmias
Premature Complexes
Bigemini
- PVCs in bigemini in a 75 year old woman.
- PVCs in bigemini in a 75 year old woman #2
- Bigemini in a 60 year old man
- Interpolated PVCs in a 80 year old woman.
- A patient on the hospital ward with PVCs as well as RBBB, Left Posterior Hemiblock, criteria for LAA and RAA.
- PVC couplets.
- PVC salvos
Ventricular Tachycardia
- Two EKG strips from a patient with a failing pacemaker and Torsade de Pointes ventricular tachycardia
- An EKG from a patient in the surgical recovery room showing Torsade de Pointes ventricular tachycardia
- From an elderly woman
- Ventricular tachycardia an elderly woman
- Two ECGs from a patient in an emergency room, first with ventricular tachycardia and then after a shock, sinus rhythm.
- A 66 year old man with fast ventricular tachycardia
- A 35 year old man with an acute inferior wall M.I. and ventricular tachycardia.
- 12 lead recording of ventricular tachycardia with intracardiac recordings in a patient with a dual chamber pacer/defibrillator and a severe intra-ventricular conduction defect.
- VT in 62 year old man with a previous inferior wall myocardial infarction and a history of ventricular tachycardia. This page shows his EKG and an abnormal surface average EKG.