Advanced ECG test

CASE 1 — 

An 85-year-old man is found in his room. He is noted to be obtunded with a slow heart rate. An electrocardiogram (ECG) is obtained and a specific diagnosis is suggested (waveform 1 and waveform 2).

CASE 2 — 

A rhythm strip is obtained from a patient with chronic heart failure with reduced ejection fraction (HFrEF) treated with digoxin. What is the arrhythmia (waveform 3 and waveform 4)?

CASE 3 — 

The following ECG is most likely to be associated with which one of the following diagnoses (waveform 5 and waveform 6)?

●Posterior myocardial infarction

●Aortic regurgitation

●Idiopathic pulmonary arterial hypertension

●Acute pericarditis

●Anterior wall ischemia

CASE 4 — 

A 43-year-old man with end-stage kidney disease presents with fatigue, dyspnea, and increased jugular venous pressure. What ECG finding is present (waveform 7 and waveform 8)?

CASE 5 — 

What arrhythmia is seen on the rhythm strip (waveform 9 and waveform 10)?

CASE 6 — 

A patient with slowly progressive chronic HFrEF presents with the following ECG. What is the diagnosis (waveform 11 and waveform 12)?

●Posterior wall myocardial infarction with left anterior hemiblock

●Atrial septal defect

●Mitral stenosis

●Right bundle branch block with diffuse ischemia

●Dextrocardia

CASE 7 — 

The following ECG is diagnostic of which disorder (waveform 13 and waveform 14)?

●Right ventricular hypertrophy

●Wolff-Parkinson-White pattern

●Dextrocardia

●Acute inferoposterolateral myocardial infarction or ischemia

●Hypertrophic cardiomyopathy

CASE 8 — 

The following ECG is most consistent with which disorder (waveform 15 and waveform 16)?

●Chronic kidney disease

●Anterior myocardial infarction, hyperacute phase

●Aortic stenosis

●Prinzmetal (vasospastic) angina

●Ventricular septal defect

CASE 9 — 

What arrhythmia is present and what is the likely cause (waveform 17 and waveform 18)?

CASE 10 — 

The ECG in this 60-year-old man is most consistent with which diagnosis (waveform 19 and waveform 20)?

●Mitral stenosis

●Chronic obstructive pulmonary disease

●Left posterior fascicular block

●Ventricular septal defect

●Hypertrophic cardiomyopathy

CASE 11 — 

A 55-year-old woman has the following ECG (waveform 21 and waveform 22). What is the most likely diagnosis?

●Mitral stenosis

●Aortic regurgitation

●Anteroseptal myocardial infarction

●Bifascicular block (right bundle branch block and left posterior fascicular block)

●Atrial septal defect

CASE 12 — 

The following ECG is consistent with which condition (waveform 23 and waveform 24)?

●Severe chronic obstructive pulmonary disease

●Posterior myocardial infarction

●Normal neonatal ECG

●Hypertrophic cardiomyopathy

●Mitral stenosis

CASE 13 — 

The following wide complex arrhythmia is incidentally discovered during exercise testing. What is the arrhythmia and what is the underlying rhythm (waveform 25 and waveform 26)?

CASE 14 — 

A 21-year-old man with chronic (congestive) heart failure has the following ECG. What is the diagnosis (waveform 27 and waveform 28)?

●Atrial septal defect

●Duchenne muscular dystrophy

●Mitral regurgitation

●Idiopathic dilated cardiomyopathy

●Patent ductus arteriosus with Eisenmenger syndrome

CASE 15 — 

What arrhythmia is present on the ECG (waveform 29 and waveform 30)?

CASE 16 — 

What U wave abnormality is present on this ECG (waveform 31 and waveform 32)?