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An irregular pulse and shortness of breath led to a 68-year-old being diagnosed with atrial fibrillation. Learn what happens in the heart, how the condition is detected, and why treatment is important
Irregular Pulse – What Was Wrong With the Heart? A 68-year-old man was admitted to the hospital because his heartbeat had been irregular...
Faraz Afzal
Oct 72 min read
Case: An elderly man with a pacemaker and chest pain – what are wemissing?
An 85-year-old man with known cognitive impairment was admitted with stabbing chest pain and shortness of breath. He had a single-chamber...
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Sep 292 min read
Case: “Shark-fin” — a life-threatening ECG sign
Background A man in his early sixties with a history of atrial fibrillation and a mechanical aortic valve developed acute chest pain...
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Sep 282 min read
Case: Syncope during sexual activity – what is hidden in the ECG?
A man in his 70s experienced a dramatic event during sexual activity alone. He lost consciousness and awoke shortly after, with...
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Sep 282 min read
Case: When chest pain is not infarction – but aortic dissection
A 60-year-old man with known hypertension developed chest pain radiating to his left arm and shortness of breath in the morning. His...
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Sep 282 min read
Case: ECG and pulmonary embolism – a pattern you must recognize
A woman in her 60s was admitted with increasing shortness of breath. The ECG showed: Sinus tachycardia (109/min) Right axis deviation...
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Sep 282 min read
Case: When AV block is not just an “electrical” problem
A man was admitted for aortic valve surgery. Postoperatively, examinations showed a normal aortic valve without leakage. NT-proBNP was...
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Sep 281 min read
Case: A 75-year-old man with syncope
A 75-year-old man was admitted after experiencing syncope during intense physical exertion. He had no warning signs or prodromal symptoms...
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Sep 282 min read
Case: STEMI equivalent without classic ECG changes – what can we learn?
A man in his 60s was admitted to hospital around 4 p.m. with chest pain. The pain subsided after administration of 5 mg morphine and...
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Sep 282 min read
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