中国区国际心电图培训课程之典型病例49页PPT

Case 4
A 28-year-old very lean man, with slight pectus excavatum, but with no apparent heart disease. What is the correct diagnosis?
A. Right ventricular enlargement B. Heart with the apex backward C. Superoanterior hemiblock D. Vertical heart
Case 6
A 6-year-old child with no apparent heart disease. What is the correct diagnosis? A. Normal ECG B. Right ventricular enlargement C. Left ventricular enlargement D. Pericarditis
Case 15
This is a 46-year-old patient with frequent paroxysmal arrhythmia crises (see the recording at the bottom). Which is the correct diagnosis?
teral myocardial infarction + ventricular tachycardia B.Type IV Wolff–Parkinson-White syndrome + paroxysmal
a. Atrial septal defect b. Partial right bundle branch block c. Brugada’s syndrome d. False image of right bundle branch block
Case 2
A 27–year-old man, with no apparent heart disease. What is the correct diagnosis? A. Acute pericarditis B. Early repolarization in a subject with a horizontal heart with levorotation C. Acute phase of a myocardial infarction D. Superoanterior hemiblock
Case 13
This is a 45-year-old patient with signs of heart failure and poor ventricular function. Which is the correct diagnosis? A.Partial left bundle branch block plete left bundle branch block in a patient with a dilated cardiomyopathy, probably of the ischemic type. C.Isolated complete left bundle branch block D.Type-I Wolff–Parkinson–White Syndrome
Case 12
This is a 30-year-old patient with a rsR’ morphology in V1. Which is the correct diagnosis? A.Right ventricular enlargement + partial right bundle branch block B.Right bundle branch block of new onset due to a pulmonary embolism C.Isolated complete right bundle branch block D.Brugada’s syndrome
Case 10
This is a noncyanotic newborn with a systolic 5/6 murmur in the second left intercostal space. Which is the correct diagnosis? A.Ventricular septal defect B.Significant pulmonary stenosis C.Atrial septal defect D.Mitral regurgitation
Case 3
An 18-year-old lean man, asymptomatic, with no heart disease. What is the correct diagnosis?
A. Left ventricular enlargemen B. Normal ECG variant. Vertical heart with apparent levorotation C. Left ventricular enlargement D. Normal ECG. Heart with no rotation
Case 11
This is a 55-year-old patient with a known heart disease evolving during more than 30 years. Which is the correct diagnosis? (ECG is shown at half voltage) A.Wolff-Parkinson-White Syndrome plete left bundle branch block C.Significant left ventricular enlargement d left ventricular enlargement
Case 9
This is a 65-year-old patient. The history-taking presents antecedents of chronic obstructive pulmonary disease dating back more than 20 years (recently with an acute crisis). Which is the correct diagnosis? A.Right ventricular and atrial enlargement plete right bundle branch block C.Acute coronary syndrome with a negative T wave from V1 to V3 D.Normal variant (vertically-orientated heart) with no associated disease
Case 7
These are leads V1 and V2 of a 60-year-old woman with a heart disease. Which is the correct diagnosis? teral myocardial infarction B.Significant right enlargement plete right bundle branch block D.Type-II Wolff–Parkinson–White Syndrome
Case 8
This is a 45-year-old patient suffering from a heart disease, with the diagnosis having been made 30 years ago. Which is the correct diagnosis? A.Significant left ventricular and atrial enlargement plete left bundle branch block plete superoanterior hemiblock D.Acute septal infarction
Case 14
This is a 34-year-old patient with frequent paroxysmal arrhythmia crises. Which is the correct diagnosis?
teral myocardial infarction B.Type-III Wolff–Parkinson–White Syndrome C.Right ventricular enlargement plete right bundle branch block
atrial fibrillation C.Right ventricular enlargement D. Right bundle branch block + right ventricula enlargement
Case 16
This is a patient who suffered a myocardial infarction two days ago, and received early therapy with fibrinolytic agents. The ST-segment elevation in the acute phase was located in leads II, III and VF, with a more significant ST elevation in lead III than in II; ST-segment depression is found in lead I and ST-segment elevation is observed in the extreme right precordial leads and in V1-V2. Which is the artery involved in this infarction?