Cardiology ECG Review for the ABIM

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Cardiology ECG Reviewfor the ABIM
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A 46-year-old woman is evaluated because of
palpitations. Her 12-lead electrocardiogram,
obtained while she is having typical symptoms, is
shown. What abnormality is seen?
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A 72-year-old man is noted to have bradycardia
alternating with tachycardia during an orthopedic
procedure. A 12-lead electrocardiogram is
subsequently obtained. What abnormality is seen?
4
60-year-old woman with hypertension and diabetes
mellitus is evaluated because of an 8-hour
history of substernal chest pressure associated
with dyspnea and diaphoresis. A 12-lead
electrocardiogram obtained shortly after her
arrival to the emergency department is shown.
What abnormality is seen?
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• A 38-year-old woman is evaluated because of
  palpitations. She has a childhood history of the
  acute onset of rapid regular palpitations that
  she has learned to terminate with different vagal
  maneuvers. A 12-lead electrocardiogram taken
  during a period of palpitations is shown. What
  abnormality is seen?

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A 43-year-old man with congenital heart disease
is evaluated because of progressive dyspnea for
the past 3 years. His 12-lead electrocardiogram
is shown. What abnormality is seen?
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• A 75-year-old woman who was treated for heart
  block 3 years ago is seen for a follow-up visit.
  Her 12-lead electrocardiogram is shown.
• What does the tracing show?

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• An 87-year-old man with a pacemaker implanted for
  atrioventricular block is seen in follow-up. His
  12-lead electrocardiogram is shown.
• What abnormality is seen?

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• A 59-year-old man is brought to the emergency
  department because of substernal chest pressure
  of 1 hour's duration. His 12-lead
  electrocardiogram is shown.
• What abnormality is seen?

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• A 60-year-old woman is evaluated because of
  palpitations. Her 12-lead electrocardiogram is
  shown. What abnormality is seen?

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• An 84-year-old woman is hospitalized because of
  acute coronary syndrome. A 12-lead
  electrocardiogram obtained while she is having
  chest pain is shown. What abnormality is seen?

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• A 42-year-old man is noted to have a soft S1 on
  physical examination. His 12-lead
  electrocardiogram is shown. What abnormality is
  seen?

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• A 53-year-old woman is evaluated because of
  pleuritic chest pain. Her 12-lead
  electrocardiogram is shown.
• What abnormality is seen?

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• A 44-year-old woman has hypertension. Her 12-lead
  electrocardiogram is shown. What abnormality is
  seen?

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• A 50-year-old man with severe ischemic
  cardiomyopathy is hospitalized because of
  syncope. His 12-lead electrocardiogram is shown.
• What abnormality is seen?

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• An 80-year-old man underwent implantation of a
  single-chamber pacemaker for paroxysmal
  atrioventricular block 3 years ago. He now has a
  cerebrovascular accident. His 12-lead
  electrocardiogram is shown. What abnormality is
  seen?

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• A 72-year-old man with a 35-year history of
  hypertension is evaluated because of dyspnea. His
  12-lead electrocardiogram is shown.
• What abnormality is seen?

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• A 60-year-old man with hypertension and an
  evolving anterior wall myocardial infarction is
  evaluated in the emergency department. His
  12-lead electrocardiogram is shown.
• What abnormality is seen?

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• A 45-year-old male smoker is evaluated because of
  a 3-hour history of substernal chest pressure
  radiating to the left arm associated with nausea
  and vomiting. A 12-lead electrocardiogram is
  shown.
• What abnormality is seen?

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• A 46-year-old man is evaluated because of
  palpitations. His 12-lead electrocardiogram,
  obtained while he is having typical symptoms, is
  shown.
• What abnormality is seen?

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• A 52-year-old man is evaluated because of acute
  renal insufficiency. A 12-lead electrocardiogram
  is shown.
• What abnormality is seen?

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• An otherwise asymptomatic 72-year-old man is
  evaluated because of an irregular pulse rate
  detected by his physician. His 12-lead
  electrocardiogram is shown.
• What abnormality is seen?

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• A 22-year-old man is evaluated because of
  dyspnea. His 12-lead electrocardiogram is shown.
• What abnormality is seen?

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• A 78-year-old woman is hospitalized because of
  pyelonephritis. Her 12-lead electrocardiogram is
  shown.
• What abnormalities are seen?

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• A 74-year-old man is evaluated because of
  exertional fatigue. His 12-lead electrocardiogram
  is shown.
• What abnormality is seen?

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• A 74-year-old man with ischemic cardiomyopathy
  and an implanted cardioverter/defibrillator
  develops palpitations and presyncope. His 12-lead
  electrocardiogram, obtained during his
  palpitations, is shown.
• What abnormality is seen?

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• 62-year-old man with hypertension and diabetes
  mellitus is evaluated because of substernal chest
  pressure radiating to the neck for the past 35
  minutes. A 12-lead electrocardiogram is obtained
  upon his arrival in the emergency department.
  What abnormality is seen?

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• A 70-year-old woman with hypertension is seen for
  evaluation. Her 12-lead electrocardiogram is
  shown.
• What abnormality is seen?

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• A 40-year-old woman is evaluated because of
  headaches and muscle cramps. Her 12-lead
  electrocardiogram is shown.
• What abnormality is seen?

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• A 74-year-old man with a history of prior
  myocardial infarction is evaluated because of
  palpitations. His 12-lead electrocardiogram,
  obtained during his palpitations, is shown.
• What abnormality is seen?