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63

150 Practice ECGs


Part I I
As you read the practice ECGs, write the ECG report including rate, rhythm, intervals,
axis, and interpretation. If you do not commit yourself on paper, it does not count!
Read five to ten ECGs in a row before checking answers. There is a rhythm to this
exercise that you should not interrupt. After you have read 150 ECGs, you will be
reading them with confidence.
64 150 Practice ECGs: Interpretation and Review
P
r
a
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i
c
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E
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1

A

5
7
-
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a
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m
a
n
,

p
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o
p
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a
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e

E
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.
Part ii: 150 Practice ECGs 65
P
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E
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2

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7
8
-
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a
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,

n
o

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p
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v
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e
d
.
66 150 Practice ECGs: Interpretation and Review
P
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a
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i
c
e

E
C
G

3

A

5
4
-
y
e
a
r
-
o
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d

w
o
m
a
n
,

a
d
m
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e
d

w
i
t
h

c
h
o
l
e
c
y
s
t
i
t
i
s
.
Part ii: 150 Practice ECGs 67
P
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a
c
t
i
c
e

E
C
G

4

A

4
9
-
y
e
a
r
-
o
l
d

m
a
n
,

n
o

h
i
s
t
o
r
y

g
i
v
e
n
.

H
a
s

h
e

h
a
d

a
n

M
I
?

W
h
e
n
?
68 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

5

A

7
8
-
y
e
a
r
-
o
l
d

w
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m
a
n

w
i
t
h

a

h
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f

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w

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m
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t

p
a
i
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.

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s

a

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r

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f
o
r

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m
p
a
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n
.

C
a
n

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o
u

b
e

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e

t
h
a
t

h
e
r

p
a
i
n

i
s

d
u
e

t
o

M
I
?
Part ii: 150 Practice ECGs 69
P
r
a
c
t
i
c
e

E
C
G

6

A

3
6
-
y
e
a
r
-
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l
d

m
a
n
;

l
i
f
e

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o
f

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e
a
r
t

d
i
s
e
a
s
e
.
70 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

7

A

7
9
-
y
e
a
r
-
o
l
d

m
a
n

b
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t

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h
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m
e

w
i
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h

a

r
a
p
i
d

p
u
l
s
e
.
Part ii: 150 Practice ECGs 71
P
r
a
c
t
i
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e

E
C
G

8

A

7
2
-
y
e
a
r
-
o
l
d

w
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m
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n

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f
a
i
l
u
r
e
.

W
h
a
t

i
s

t
h
e

c
a
u
s
e
?
72 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

9

A
n

a
c
t
i
v
e

8
2
-
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a
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-
o
l
d

w
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i
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.

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h
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d

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w
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r
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a
b
o
u
t

p
o
s
s
i
b
l
e

s
y
n
c
o
p
e
?
Part ii: 150 Practice ECGs 73
P
r
a
c
t
i
c
e

E
C
G

1
0

A

9
4
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

f
a
i
l
i
n
g

m
e
m
o
r
y
.
74 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
1

A

7
2
-
y
e
a
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l
d

m
a
n

w
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r
t

d
i
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e
a
s
e
,

o
n

d
i
g
o
x
i
n
.
Part ii: 150 Practice ECGs 75
P
r
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c
t
i
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e

E
C
G

1
2

A

7
3
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a
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n
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,

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s
.

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a
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o
u

i
d
e
n
t
i
f
y

o
n
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o
f

t
h
e
m
?
76 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
3

A

4
8
-
y
e
a
r
-
o
l
d

w
o
m
a
n
;

r
o
u
t
i
n
e

e
x
a
m
.
Part ii: 150 Practice ECGs 77
P
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C
G

1
4

A

6
7
-
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a
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;

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o

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v
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d
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d
.
78 150 Practice ECGs: Interpretation and Review
P
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t
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c
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C
G

1
5

A

4
3
-
y
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a
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.

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r

t
h
r
o
m
b
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l
y
t
i
c

t
h
e
r
a
p
y
?
Part ii: 150 Practice ECGs 79
P
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C
G

1
6

A

7
3
-
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i
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?
80 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
7

A

4
6
-
y
e
a
r
-
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l
d

m
a
n
;

r
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x
a
m
.

N
o
r
m
a
l

o
r

a
b
n
o
r
m
a
l
?
Part ii: 150 Practice ECGs 81
P
r
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t
i
c
e

E
C
G

1
8

A
n

8
9
-
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.
82 150 Practice ECGs: Interpretation and Review
P
r
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c
t
i
c
e

E
C
G

1
9

A

7
4
-
y
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a
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-
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d

m
a
n
;

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n
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a
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a

p
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v
i
d
e
d
.
Part ii: 150 Practice ECGs 83
P
r
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c
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C
G

2
0

A

7
6
-
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t

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c
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o
n
a
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y

a
n
a
t
o
m
y
?
84 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

2
1

A

5
9
-
y
e
a
r
-
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l
d

w
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m
a
n

w
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f
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e
s

w
i
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s
p
i
r
a
t
i
o
n
.
Part ii: 150 Practice ECGs 85
P
r
a
c
t
i
c
e

E
C
G

2
2

A

5
6
-
y
e
a
r
-
o
l
d

w
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m
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n

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m
.

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u
e
s
s

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t
u
r
e

o
f

h
e
r

a
c
u
t
e

i
l
l
n
e
s
s
?
86 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

2
3

A

7
0
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

r
e
m
o
t
e

h
i
s
t
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f

f
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i
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s
p
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s
.

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o
w

i
n

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h
e

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m
e
r
g
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n
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y

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o
o
m

w
i
t
h

d
y
s
p
n
e
a

a
n
d

f
e
v
e
r
.
Part ii: 150 Practice ECGs 87
P
r
a
c
t
i
c
e

E
C
G

2
4

A

7
5
-
y
e
a
r
-
o
l
d

m
a
n

w
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a

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c

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u
r
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n
d

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e
a
r
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f
a
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e
.

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h
a
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s

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h
e

d
o
m
i
n
a
n
t

v
a
l
v
u
l
a
r

l
e
s
i
o
n
?
88 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

2
5

A
n

8
0
-
y
e
a
r
-
o
l
d

m
a
n

t
r
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a
t
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d

w
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d
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t
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s

a
n
d

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i
g
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x
i
n
.

W
h
a
t

l
a
b

w
o
r
k

i
s

n
e
e
d
e
d
?
Part ii: 150 Practice ECGs 89
P
r
a
c
t
i
c
e

E
C
G

2
6

A

5
2
-
y
e
a
r
-
o
l
d

m
a
n

w
h
o

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a
d

a

2
0
-
h
o
u
r

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f

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d
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g
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a

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a
r
l
i
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r
.

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e

h
a
s

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e
v
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r
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f
a
t
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e
.

T
h
e

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a
r
d
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o
l
o
g
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t

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a
s

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r
d
e
r
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d

a
n

e
c
h
o
c
a
r
d
i
o
g
r
a
m
.

W
h
y
?
90 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

2
7

A

7
1
-
y
e
a
r
-
o
l
d

w
o
m
a
n

i
n

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h
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e
m
e
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y

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m
.

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p
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d

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f
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e
r
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e
.

I
s


a
n
g
i
o
g
r
a
p
h
y

i
n
d
i
c
a
t
e
d
?

W
h
a
t

w
o
u
l
d

i
t

s
h
o
w
?
Part ii: 150 Practice ECGs 91
P
r
a
c
t
i
c
e

E
C
G

2
8

A

7
9
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

m
i
l
d

h
y
p
e
r
t
e
n
s
i
o
n
.
92 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

2
9

A

7
4
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

h
i
s
t
o
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y

o
f

a
t
r
i
a
l

f
i
b
r
i
l
l
a
t
i
o
n
,

d
i
a
b
e
t
e
s
,

h
y
p
e
r
t
e
n
s
i
o
n
,

o
b
e
s
i
t
y
,

a
n
d

M
I
.

N
o
w

i
n

t
h
e

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m
e
r
g
e
n
c
y

r
o
o
m

w
i
t
h

p
u
l
m
o
n
a
r
y

e
d
e
m
a
.
Part ii: 150 Practice ECGs 93
P
r
a
c
t
i
c
e

E
C
G

3
0

A
n

8
5
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n
.

T
h
e
r
e

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s

a

h
i
s
t
o
r
y

o
f

M
I
.

W
h
a
t

i
s

h
i
s

p
r
o
g
n
o
s
i
s
?
94 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

3
1

A

6
1
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

p
o
o
r
l
y

c
o
n
t
r
o
l
l
e
d

h
y
p
e
r
t
e
n
s
i
o
n
.
Part ii: 150 Practice ECGs 95
P
r
a
c
t
i
c
e

E
C
G

3
2

A

4
2
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

i
n
t
e
r
m
i
t
t
e
n
t

p
a
l
p
i
t
a
t
i
o
n
s

s
i
n
c
e

c
h
i
l
d
h
o
o
d
.

H
i
s

d
o
c
t
o
r

i
s

c
o
n
c
e
r
n
e
d

a
b
o
u
t

h
i
s

c
o
n
d
u
c
t
i
o
n

a
b
n
o
r
m
a
l
i
t
y

a
n
d

a

s
i
l
e
n
t

h
e
a
r
t

a
t
t
a
c
k
.
96 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

3
3

A

3
8
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

p
a
l
p
i
t
a
t
i
o
n
s

a
n
d

d
i
z
z
i
n
e
s
s
.
Part ii: 150 Practice ECGs 97
P
r
a
c
t
i
c
e

E
C
G

3
4

A
n

8
1
-
y
e
a
r
-
o
l
d

w
o
m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m

w
i
t
h

c
h
e
s
t

p
a
i
n
.

W
h
a
t

a
r
e

t
h
e

t
r
e
a
t
i
n
g

p
h
y
s
i
c
i
a
n

s

n
e
x
t

s
t
e
p
s
?

W
o
u
l
d

y
o
u

c
o
n
s
i
d
e
r

t
h
r
o
m
b
o
l
y
t
i
c

t
h
e
r
a
p
y
?
98 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

3
5

A

7
3
-
y
e
a
r
-
o
l
d

m
a
n
;

n
o

h
i
s
t
o
r
y

p
r
o
v
i
d
e
d
.
Part ii: 150 Practice ECGs 99
P
r
a
c
t
i
c
e

E
C
G

3
6

A

6
5
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

l
o
n
g

h
i
s
t
o
r
y

o
f

b
o
r
d
e
r
l
i
n
e

h
y
p
e
r
t
e
n
s
i
o
n
.

W
h
a
t

d
o
e
s

t
h
i
s

E
C
G

t
e
l
l

y
o
u

a
b
o
u
t

c
o
n
t
r
o
l

o
f

h
e
r

b
l
o
o
d

p
r
e
s
s
u
r
e
?
100 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

3
7

A
n

8
6
-
y
e
a
r
-
o
l
d

w
o
m
a
n
,

a
n
n
u
a
l

E
C
G
.
Part ii: 150 Practice ECGs 101
P
r
a
c
t
i
c
e

E
C
G

3
8

A
n

8
2
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

f
a
t
i
g
u
e

a
n
d

a
n
k
l
e

e
d
e
m
a

f
o
r

2

w
e
e
k
s
.
102 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

3
9

A

6
2
-
y
e
a
r
-
o
l
d

m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m

o
f

a

c
o
m
m
u
n
i
t
y

h
o
s
p
i
t
a
l
.

B
e
f
o
r
e

a
r
r
i
v
a
l
,

h
e

h
a
d

c
h
e
s
t

p
a
i
n

f
o
r

2

h
o
u
r
s
,

t
h
e
n

r
e
l
i
e
f
.

P
a
i
n

h
a
s

n
o
w

r
e
c
u
r
r
e
d
.

I
s

i
t

t
o
o

l
a
t
e

f
o
r

r
e
p
e
r
f
u
s
i
o
n

t
h
e
r
a
p
y
?
Part ii: 150 Practice ECGs 103
P
r
a
c
t
i
c
e

E
C
G

4
0

S
a
m
e

p
a
t
i
e
n
t

(
N
o
.

3
9
)
,

2

h
o
u
r
s

a
f
t
e
r

t
r
e
a
t
m
e
n
t

w
i
t
h

t
i
s
s
u
e

p
l
a
s
m
i
n
o
g
e
n

a
c
t
i
v
a
t
o
r
.
104 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

4
1

A

2
6
-
y
e
a
r
-
o
l
d

w
i
t
h

n
o

s
y
m
p
t
o
m
s
.

W
h
i
c
h

d
i
a
g
n
o
s
t
i
c

t
e
s
t

i
s

n
e
e
d
e
d
?
Part ii: 150 Practice ECGs 105
P
r
a
c
t
i
c
e

E
C
G

4
2

A

3
2
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

f
i
x
e
d

s
p
l
i
t
t
i
n
g

o
f

t
h
e

s
e
c
o
n
d

h
e
a
r
t

s
o
u
n
d

a
n
d

a

l
o
u
d

m
u
r
m
u
r
.

W
h
a
t

i
s

t
h
e

i
l
l
n
e
s
s
?
106 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

4
3

A

4
0
-
y
e
a
r
-
o
l
d

m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m

f
o
l
l
o
w
i
n
g

a
n

e
p
i
s
o
d
e

o
f

s
y
n
c
o
p
e
.

H
e

h
a
s

b
e
e
n

t
r
e
a
t
e
d

w
i
t
h

e
r
y
t
h
r
o
m
y
c
i
n

a
n
d

a
n
t
i
h
i
s
t
a
m
i
n
e
s

f
o
r

a

r
e
s
p
i
r
a
t
o
r
y

i
l
l
n
e
s
s
.
Part ii: 150 Practice ECGs 107
P
r
a
c
t
i
c
e

E
C
G

4
4

T
e
l
e
m
e
t
r
y

r
e
c
o
r
d
i
n
g

t
h
e

s
a
m
e

p
a
t
i
e
n
t

(
N
o
.

4
3
)

4

h
o
u
r
s

l
a
t
e
r
.

D
u
r
i
n
g

t
h
e

a
r
r
h
y
t
h
m
i
a
,

h
e

l
o
s
t

c
o
n
s
c
i
o
u
s
n
e
s
s
.
108 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

4
5

R
h
y
t
h
m

s
t
r
i
p
s

f
r
o
m

a

5
2
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
a
r
d
i
o
m
y
o
p
a
t
h
y

a
n
d

e
p
i
s
o
d
i
c

d
i
z
z
i
n
e
s
s
.

D
u
r
i
n
g

t
h
e

t
h
i
r
d

t
r
a
c
i
n
g
,

s
h
e

l
o
s
t

c
o
n
s
c
i
o
u
s
n
e
s
s
.
Part ii: 150 Practice ECGs 109
P
r
a
c
t
i
c
e

E
C
G

4
6

A
n

8
7
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

d
i
z
z
y

s
p
e
l
l
s
.
110 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

4
7

A

4
5
-
y
e
a
r
-
o
l
d

m
a
n

a
f
t
e
r

a

4
5
-
m
i
n
u
t
e

e
p
i
s
o
d
e

o
f

c
h
e
s
t

p
a
i
n
.
Part ii: 150 Practice ECGs 111
P
r
a
c
t
i
c
e

E
C
G

4
8

A

6
8
-
y
e
a
r
-
o
l
d

w
o
m
a
n

a
f
t
e
r

i
n
d
i
g
e
s
t
i
o
n

o
f

9

h
o
u
r
s

d
u
r
a
t
i
o
n
.

W
h
a
t

t
r
e
a
t
m
e
n
t

i
s

i
n
d
i
c
a
t
e
d
?
112 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

4
9

A

7
6
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

d
i
a
b
e
t
e
s
;

y
e
a
r
l
y

e
x
a
m
i
n
a
t
i
o
n
.
Part ii: 150 Practice ECGs 113
P
r
a
c
t
i
c
e

E
C
G

5
0

A

7
5
-
y
e
a
r
-
o
l
d

m
a
n

w
h
o

t
a
k
e
s

h
e
a
r
t

p
i
l
l
s
.
114 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

5
1

A
n

8
2
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

m
i
l
d

h
e
a
r
t

f
a
i
l
u
r
e
.
Part ii: 150 Practice ECGs 115
P
r
a
c
t
i
c
e

E
C
G

5
2

A

4
0
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

s
y
n
c
o
p
e
.
116 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

5
3

A

6
9
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

h
e
a
r
t

f
a
i
l
u
r
e
.
Part ii: 150 Practice ECGs 117
P
r
a
c
t
i
c
e

E
C
G

5
4

A

7
0
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

r
e
m
o
t
e

h
i
s
t
o
r
y

o
f

M
I

a
n
d

a

h
i
s
t
o
r
y

o
f

a
t
r
i
a
l

f
i
b
r
i
l
l
a
t
i
o
n
.
118 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

5
5

A

6
0
-
y
e
a
r
-
o
l
d

m
a
n
;

n
o

c
l
i
n
i
c
a
l

d
a
t
a

p
r
o
v
i
d
e
d
.
Part ii: 150 Practice ECGs 119
P
r
a
c
t
i
c
e

E
C
G

5
6

A
n

8
1
-
y
e
a
r
-
o
l
d

w
o
m
a
n

i
n

e
x
c
e
l
l
e
n
t

h
e
a
l
t
h
.
120 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

5
7

A

7
2
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

a
r
r
h
y
t
h
m
i
a
s
.
Part ii: 150 Practice ECGs 121
P
r
a
c
t
i
c
e

E
C
G

5
8

A

3
1
-
y
e
a
r
-
o
l
d

w
o
m
a
n

s
e
n
t

t
o

a

c
l
i
n
i
c

b
e
c
a
u
s
e

h
e
r

E
C
G

s
h
o
w
e
d

a

h
e
a
r
t

a
t
t
a
c
k
.

S
h
e

h
a
d

n
o

h
i
s
t
o
r
y

o
f

M
I
.

O
n

e
x
a
m

t
h
e
r
e

w
a
s

a

h
e
a
r
t

m
u
r
m
u
r
.
122 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

5
9

A

6
4
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

e
m
p
h
y
s
e
m
a

a
n
d

a
n
k
l
e

e
d
e
m
a
.
Part ii: 150 Practice ECGs 123
P
r
a
c
t
i
c
e

E
C
G

6
0

A

6
9
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

e
a
s
y

f
a
t
i
g
u
e

a
n
d

e
x
e
r
t
i
o
n
a
l

d
y
s
p
n
e
a
.
124 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

6
1

A

7
5
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

p
u
l
m
o
n
a
r
y

e
d
e
m
a
.
Part ii: 150 Practice ECGs 125
P
r
a
c
t
i
c
e

E
C
G

6
2

A
n

8
3
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

l
o
n
g

h
i
s
t
o
r
y

o
f

i
r
r
e
g
u
l
a
r

p
u
l
s
e
.

H
e

i
s

o
n

d
i
g
o
x
i
n
.

D
o
e
s

h
e

n
e
e
d

a
d
d
i
t
i
o
n
a
l

d
r
u
g

t
h
e
r
a
p
y
?
126 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

6
3

A

5
9
-
y
e
a
r
-
o
l
d

m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m
.
Part ii: 150 Practice ECGs 127
P
r
a
c
t
i
c
e

E
C
G

6
4

A
n

8
2
-
y
e
a
r
-
o
l
d

m
a
n

o
n

d
i
g
o
x
i
n

s
e
n
t

f
r
o
m

t
h
e

n
u
r
s
i
n
g

h
o
m
e

w
i
t
h

c
o
n
f
u
s
i
o
n

a
n
d

b
l
u
r
r
e
d

v
i
s
i
o
n
.
128 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

6
5

A

6
6
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

v
a
g
u
e
,

n
o
n
s
p
e
c
i
f
i
c

c
h
e
s
t

p
a
i
n

a
n
d

a

p
o
s
i
t
i
v
e

s
t
r
e
s
s

t
e
s
t
.
Part ii: 150 Practice ECGs 129
P
r
a
c
t
i
c
e

E
C
G

6
6

A

2
6
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

p
a
l
p
i
t
a
t
i
o
n
s
.

H
e
r

E
C
G

w
a
s

n
o
r
m
a
l

t
h
e

d
a
y

a
f
t
e
r

t
h
i
s

t
r
a
c
i
n
g

w
a
s

o
b
t
a
i
n
e
d
.
130 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

6
7

A
n

8
6
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

d
i
z
z
y

s
p
e
l
l
s

f
o
r

1

w
e
e
k
,

o
n

n
o

m
e
d
i
c
i
n
e
.

W
h
a
t

s
h
o
u
l
d

h
i
s

d
o
c
t
o
r

d
o
?
Part ii: 150 Practice ECGs 131
P
r
a
c
t
i
c
e

E
C
G

6
8

A
n

8
5
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

m
i
l
d

h
e
a
r
t

f
a
i
l
u
r
e
,

o
n

d
i
g
o
x
i
n
.
132 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

6
9

A

7
0
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a
n
k
l
e

e
d
e
m
a

o
n

t
w
o

d
i
u
r
e
t
i
c
s

a
n
d

p
o
t
a
s
s
i
u
m

s
u
p
p
l
e
m
e
n
t
s
.
Part ii: 150 Practice ECGs 133
P
r
a
c
t
i
c
e

E
C
G

7
0

A

7
7
-
y
e
a
r
-
o
l
d

m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m

w
i
t
h

p
o
u
n
d
i
n
g

i
n

h
i
s

c
h
e
s
t
.
134 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

7
1

A
n

8
1
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n
.
Part ii: 150 Practice ECGs 135
P
r
a
c
t
i
c
e

E
C
G

7
2

A

7
8
-
y
e
a
r
-
o
l
d

w
o
m
a
n
,

p
o
s
t
o
p
e
r
a
t
i
v
e

E
C
G
.

T
h
e

p
r
e
o
p
e
r
a
t
i
v
e

t
r
a
c
i
n
g

s
h
o
w
e
d

m
i
l
d

i
n
t
r
a
v
e
n
t
r
i
c
u
l
a
r

c
o
n
d
u
c
t
i
o
n

d
e
f
e
c
t
.
136 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

7
3

A

5
4
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

p
a
r
o
x
y
s
m
a
l

a
t
r
i
a
l

f
i
b
r
i
l
l
a
t
i
o
n
.
Part ii: 150 Practice ECGs 137
P
r
a
c
t
i
c
e

E
C
G

7
4

A

7
2
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n

o
f

2

h
o
u
r
s

d
u
r
a
t
i
o
n
.

W
h
a
t

i
s

t
h
e

c
o
r
r
e
c
t

t
r
e
a
t
m
e
n
t
?
138 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

7
5

A
n

8
0
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

p
r
e
v
i
o
u
s

M
I
.

W
h
a
t

i
s

t
h
e

o
r
i
g
i
n

o
f

t
h
e

e
c
t
o
p
i
c

b
e
a
t
s
?
Part ii: 150 Practice ECGs 139
P
r
a
c
t
i
c
e

E
C
G

7
6

A

6
4
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
h
r
o
n
i
c

c
o
u
g
h
,

d
y
s
p
n
e
a
,

a
n
d

a
n
k
l
e

e
d
e
m
a
.

S
h
e

s
t
i
l
l

s
m
o
k
e
s

t
w
o

p
a
c
k
s

o
f

c
i
g
a
r
e
t
t
e
s

a

d
a
y
.
140 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

7
7

A

6
7
-
y
e
a
r
-
o
l
d

w
o
m
a
n

t
r
a
n
s
f
e
r
r
e
d

b
e
c
a
u
s
e

o
f

a

1
-
h
o
u
r

e
p
i
s
o
d
e

o
f

c
h
e
s
t

p
a
i
n

o
n

t
h
e

p
r
e
v
i
o
u
s

d
a
y
.
Part ii: 150 Practice ECGs 141
P
r
a
c
t
i
c
e

E
C
G

7
8

A

3
9
-
y
e
a
r
-
o
l
d

f
a
r
m
e
r

w
h
o
s
e

w
i
f
e

d
r
o
v
e

h
i
m

t
o

t
h
e

l
o
c
a
l

e
m
e
r
g
e
n
c
y

r
o
o
m

w
i
t
h

c
h
e
s
t

p
a
i
n

t
h
a
t

b
e
g
a
n

3
0

m
i
n
u
t
e
s

e
a
r
l
i
e
r
.

H
e

i
s

7
0

m
i
l
e
s

f
r
o
m

t
h
e

r
e
g
i
o
n
a
l

c
a
r
d
i
a
c

c
e
n
t
e
r
.

W
h
a
t

i
s

t
h
e

a
p
p
r
o
p
r
i
a
t
e

t
r
e
a
t
m
e
n
t
?
142 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

7
9

S
a
m
e

p
a
t
i
e
n
t

(
N
o
.

7
8
)
,

a
b
o
u
t

1

h
o
u
r

l
a
t
e
r
.

C
h
e
s
t

p
a
i
n

h
a
s

r
e
s
o
l
v
e
d
.

W
h
a
t

i
s

t
h
e

t
r
e
a
t
m
e
n
t

n
o
w
?
Part ii: 150 Practice ECGs 143
P
r
a
c
t
i
c
e

E
C
G

8
0

S
a
m
e

p
a
t
i
e
n
t

(
N
o
.

7
8
)
,

a
f
t
e
r

2

d
a
y
s

o
f

h
e
p
a
r
i
n

t
h
e
r
a
p
y

a
t

t
h
e

l
o
c
a
l

h
o
s
p
i
t
a
l
.

H
e

h
a
s

d
e
v
e
l
o
p
e
d

m
o
r
e

c
h
e
s
t

p
a
i
n
,

b
u
t

n
o
t

q
u
i
t
e

l
i
k
e

w
h
a
t

h
e

h
a
d

a
t

t
h
e

t
i
m
e

o
f

a
d
m
i
s
s
i
o
n
.
144 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

8
1

A

4
6
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n

o
f

3

h
o
u
r
s

d
u
r
a
t
i
o
n
.

W
h
a
t

t
r
e
a
t
m
e
n
t

w
o
u
l
d

b
e

a
p
p
r
o
p
r
i
a
t
e
?
Part ii: 150 Practice ECGs 145
P
r
a
c
t
i
c
e

E
C
G

8
2

A

6
0
-
y
e
a
r
-
o
l
d

w
o
m
a
n

i
n

g
o
o
d

h
e
a
l
t
h
;

r
o
u
t
i
n
e

e
x
a
m
.
146 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

8
3

A

7
5
-
y
e
a
r
-
o
l
d

w
o
m
a
n

t
r
a
n
s
f
e
r
r
e
d

f
r
o
m

a

n
u
r
s
i
n
g

h
o
m
e

w
i
t
h

d
y
s
p
n
e
a

a
n
d

p
l
e
u
r
i
s
y
.
Part ii: 150 Practice ECGs 147
P
r
a
c
t
i
c
e

E
C
G

8
4

A

7
4
-
y
e
a
r
-
o
l
d

m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m

w
i
t
h

c
h
e
s
t

p
a
i
n

t
h
a
t

b
e
g
a
n

3
0

m
i
n
u
t
e
s

e
a
r
l
i
e
r
.

I
s

t
h
i
s

a
n
g
i
n
a

o
r

M
I
?

I
s

t
h
e

i
s
c
h
e
m
i
a

a
n
t
e
-
r
i
o
r

o
r

i
n
t
e
r
i
o
r
?
148 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

8
5

A

5
6
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

n
o

c
a
r
d
i
a
c

h
i
s
t
o
r
y
;

h
e

w
a
n
t
s

t
o

s
t
a
r
t

a

j
o
g
g
i
n
g

p
r
o
g
r
a
m
.
Part ii: 150 Practice ECGs 149
P
r
a
c
t
i
c
e

E
C
G

8
6

A

5
7
-
y
e
a
r
-
o
l
d

m
a
n

t
r
e
a
t
e
d

f
o
r

h
y
p
e
r
t
e
n
s
i
o
n
.

I
s

t
h
e
r
e

e
v
i
d
e
n
c
e

o
f

h
y
p
e
r
t
e
n
s
i
v
e

h
e
a
r
t

d
i
s
e
a
s
e
?
150 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

8
7

A
n

8
2
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

p
a
l
p
i
t
a
t
i
o
n
s

a
n
d

d
i
z
z
i
n
e
s
s
.
Part ii: 150 Practice ECGs 151
P
r
a
c
t
i
c
e

E
C
G

8
8

A
n

8
0
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

M
I

a
n
d

a

p
a
c
e
m
a
k
e
r
;

r
o
u
t
i
n
e

c
l
i
n
i
c

v
i
s
i
t
.
152 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

8
9

A

5
9
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

i
n
t
e
r
m
i
t
t
e
n
t

i
n
d
i
g
e
s
t
i
o
n

o
f

2

w
e
e
k
s

d
u
r
a
t
i
o
n
.
Part ii: 150 Practice ECGs 153
P
r
a
c
t
i
c
e

E
C
G

9
0

A

4
8
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

i
n
f
e
r
i
o
r

M
I
.

H
a
s

h
e

h
a
d

a

s
e
c
o
n
d

M
I
?
154 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

9
1

A

5
0
-
y
e
a
r
-
o
l
d

w
i
t
h

a

h
i
s
t
o
r
y

o
f

M
I
.

H
a
v
e

t
h
e
r
e

b
e
e
n

m
u
l
t
i
p
l
e

i
n
f
a
r
c
t
i
o
n
s
?
Part ii: 150 Practice ECGs 155
P
r
a
c
t
i
c
e

E
C
G

9
2

A

5
6
-
y
e
a
r
-
o
l
d

m
a
n
;

p
r
e
o
p
e
r
a
t
i
v
e

E
C
G
.
156 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

9
3

A

6
5
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

s
e
p
s
i
s
.
Part ii: 150 Practice ECGs 157
P
r
a
c
t
i
c
e

E
C
G

9
4

A

5
2
-
y
e
a
r
-
o
l
d

m
a
n

s
e
n
t

t
o

c
a
r
d
i
o
l
o
g
y

c
l
i
n
i
c

b
e
c
a
u
s
e

o
f

a
n

a
b
n
o
r
m
a
l

E
C
G
.

H
e

h
a
s

h
y
p
e
r
t
e
n
s
i
o
n

b
u
t

n
o

h
i
s
t
o
r
y

o
f

c
h
e
s
t

p
a
i
n
.
158 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

9
5

A

6
3
-
y
e
a
r
-
o
l
d

m
a
n
;

a
n
n
u
a
l

e
x
a
m
.
Part ii: 150 Practice ECGs 159
P
r
a
c
t
i
c
e

E
C
G

9
6

A

7
1
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n

f
o
r

3

h
o
u
r
s
.
160 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

9
7

A

5
8
-
y
e
a
r
-
o
l
d

m
a
n
;

n
o

c
l
i
n
i
c
a
l

d
a
t
a

p
r
o
v
i
d
e
d
.
Part ii: 150 Practice ECGs 161
P
r
a
c
t
i
c
e

E
C
G

9
8

A
n

8
1
-
y
e
a
r
-
o
l
d

w
o
m
a
n
;

n
o

c
l
i
n
i
c
a
l

d
a
t
a

p
r
o
v
i
d
e
d
.
162 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

9
9

A

7
3
-
y
e
a
r
-
o
l
d

m
a
n

i
n

g
o
o
d

h
e
a
l
t
h
.
Part ii: 150 Practice ECGs 163
P
r
a
c
t
i
c
e

E
C
G

1
0
0

A

6
3
-
y
e
a
r
-
o
l
d

m
a
n
;

r
o
u
t
i
n
e

e
x
a
m
i
n
a
t
i
o
n
.
164 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
0
1

A

4
6
-
y
e
a
r
-
o
l
d

m
a
n
;

i
n
s
u
r
a
n
c
e

p
h
y
s
i
c
a
l
.
Part ii: 150 Practice ECGs 165
P
r
a
c
t
i
c
e

E
C
G

1
0
2

A

p
a
t
i
e
n
t

w
i
t
h

a
n

i
r
r
e
g
u
l
a
r

p
u
l
s
e
.
166 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
0
3

A

6
8
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a
c
u
t
e

i
n
f
e
r
i
o
r

M
I
.

D
o
e
s

s
h
e

n
e
e
d

a

t
e
m
p
o
r
a
r
y

p
a
c
e
m
a
k
e
r
?
Part ii: 150 Practice ECGs 167
P
r
a
c
t
i
c
e

E
C
G

1
0
4

A

5
5
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

p
a
l
p
i
t
a
t
i
o
n
s

a
n
d

a

h
i
s
t
o
r
y

o
f

M
I
.
168 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
0
5

A

7
5
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

o
b
s
t
r
u
c
t
i
v
e

l
u
n
g

d
i
s
e
a
s
e

a
n
d

a
n
k
l
e

e
d
e
m
a
.
Part ii: 150 Practice ECGs 169
P
r
a
c
t
i
c
e

E
C
G

1
0
6

A

5
4
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

n
o

h
i
s
t
o
r
y

o
f

h
e
a
r
t

d
i
s
e
a
s
e
.

H
e

w
e
i
g
h
s

2
7
5

p
o
u
n
d
s
.
170 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
0
7

A

5
3
-
y
e
a
r
-
o
l
d

m
a
n

h
a
d

c
h
e
s
t

p
a
i
n

o
f

9
0

m
i
n
u
t
e
s

d
u
r
a
t
i
o
n

e
a
r
l
i
e
r

i
n

t
h
e

d
a
y
.

S
h
o
u
l
d

w
e

c
o
n
s
i
d
e
r

t
h
r
o
m
b
o
l
y
t
i
c

t
h
e
r
a
p
y
?
Part ii: 150 Practice ECGs 171
P
r
a
c
t
i
c
e

E
C
G

1
0
8

A

7
0
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n

o
f

5

h
o
u
r
s

d
u
r
a
t
i
o
n
.

S
h
o
u
l
d

s
h
e

h
a
v
e

t
h
r
o
m
b
o
l
y
t
i
c

t
h
e
r
a
p
y
?
172 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
0
9

A
n

8
6
-
y
e
a
r
-
o
l
d

w
o
m
a
n

o
n

d
i
g
o
x
i
n
.
Part ii: 150 Practice ECGs 173
P
r
a
c
t
i
c
e

E
C
G

1
1
0

A

7
0
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n

o
f

2

h
o
u
r
s

d
u
r
a
t
i
o
n
.

T
h
e
r
e

i
s

n
o

o
l
d

E
C
G

f
o
r

c
o
m
p
a
r
i
s
o
n
.

S
h
o
u
l
d

s
h
e

h
a
v
e

t
h
r
o
m
b
o
l
y
t
i
c

t
h
e
r
a
p
y
?
174 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
1
1

S
a
m
e

p
a
t
i
e
n
t

(
N
o
.

1
1
0
)
,

3

h
o
u
r
s

l
a
t
e
r
.
Part ii: 150 Practice ECGs 175
P
r
a
c
t
i
c
e

E
C
G

1
1
2

A

4
6
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

p
o
o
r
l
y

c
o
n
t
r
o
l
l
e
d

h
y
p
e
r
t
e
n
s
i
o
n

a
n
d

r
e
n
a
l

f
a
i
l
u
r
e
.
176 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
1
3

A

4
3
-
y
e
a
r
-
o
l
d

m
a
n

r
e
f
e
r
r
e
d

f
o
r

e
v
a
l
u
a
t
i
o
n

o
f

h
e
a
r
t

f
a
i
l
u
r
e
.
Part ii: 150 Practice ECGs 177
P
r
a
c
t
i
c
e

E
C
G

1
1
4

A

5
2
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

p
a
l
p
i
t
a
t
i
o
n
s
.

T
h
e
r
e

i
s

n
o

o
t
h
e
r

h
i
s
t
o
r
y

o
f

h
e
a
r
t

d
i
s
e
a
s
e
.

T
h
i
s

i
s

h
e
r

s
e
c
o
n
d

e
p
i
s
o
d
e
.

W
h
a
t

w
o
r
k
u
p

i
s

n
e
e
d
e
d
?
178 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
1
5

A

7
8
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
h
e
s
t

h
e
a
v
i
n
e
s
s

o
f

5

h
o
u
r
s

d
u
r
a
t
i
o
n

a
n
d

d
y
s
p
n
e
a
.

W
o
u
l
d

t
h
r
o
m
b
o
l
y
t
i
c

t
h
e
r
a
p
y

i
n
f
l
u
e
n
c
e

s
u
r
v
i
v
a
l
?
Part ii: 150 Practice ECGs 179
P
r
a
c
t
i
c
e

E
C
G

1
1
6

A

4
1
-
y
e
a
r
-
o
l
d

m
a
n

o
n

t
h
e

p
s
y
c
h
i
a
t
r
i
c

u
n
i
t
.
180 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
1
7

A

1
9
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
y
a
n
o
s
i
s
,

l
e
t
h
a
r
g
y
,

a
n
d

a

h
i
s
t
o
r
y

o
f

h
e
a
r
t

m
u
r
m
u
r
.

W
h
a
t

o
t
h
e
r

p
h
y
s
i
c
a
l

f
i
n
d
i
n
g
s

w
o
u
l
d

y
o
u

e
x
p
e
c
t
?
Part ii: 150 Practice ECGs 181
P
r
a
c
t
i
c
e

E
C
G

1
1
8

A

7
3
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

s
y
s
t
o
l
i
c

m
u
r
m
u
r

t
h
a
t

r
a
d
i
a
t
e
s

t
o

h
i
s

n
e
c
k
.
182 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
1
9

A

2
8
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

l
o
n
g

f
i
n
g
e
r
s
,

h
i
g
h

a
r
c
h
e
d

p
a
l
a
t
e
,

a
n
d

a

d
i
a
s
t
o
l
i
c

m
u
r
m
u
r
.
Part ii: 150 Practice ECGs 183
P
r
a
c
t
i
c
e

E
C
G

1
2
0

A

5
1
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

M
I
.
184 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
2
1

A

6
8
-
y
e
a
r
-
o
l
d

m
a
n

r
o
u
s
e
d

f
r
o
m

s
l
e
e
p

b
y

c
h
e
s
t

p
a
i
n

6

h
o
u
r
s

e
a
r
l
i
e
r
;

a
n
t
a
c
i
d
s

d
i
d

n
o
t

h
e
l
p
.

A
l
t
h
o
u
g
h

t
h
e

p
a
i
n

i
s

s
e
v
e
r
e
,

i
s

i
t

t
o
o

l
a
t
e

f
o
r

r
e
p
e
r
f
u
s
i
o
n

t
h
e
r
a
p
y
?
Part ii: 150 Practice ECGs 185
P
r
a
c
t
i
c
e

E
C
G

1
2
2

A

6
7
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

h
y
p
e
r
t
e
n
s
i
o
n
.

I
s

t
h
e
r
e

h
y
p
e
r
t
e
n
s
i
v
e

h
e
a
r
t

d
i
s
e
a
s
e
?
186 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
2
3

A

5
6
-
y
e
a
r
-
o
l
d

m
a
n

r
e
f
e
r
r
e
d

b
e
c
a
u
s
e

o
f

s
i
l
e
n
t

M
I
.
Part ii: 150 Practice ECGs 187
P
r
a
c
t
i
c
e

E
C
G

1
2
4

A
n

8
2
-
y
e
a
r
-
o
l
d

w
o
m
a
n

i
n

g
o
o
d

h
e
a
l
t
h

u
n
t
i
l

t
h
e

o
n
s
e
t

o
f

c
h
e
s
t

p
a
i
n

2

h
o
u
r
s

e
a
r
l
i
e
r
.

S
h
o
u
l
d

s
h
e

h
a
v
e

t
h
r
o
m
b
o
l
y
t
i
c

t
h
e
r
a
p
y
?
188 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
2
5

A

5
1
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

h
y
p
e
r
t
e
n
s
i
o
n

a
n
d

p
a
r
o
x
y
s
m
a
l

a
t
r
i
a
l

f
i
b
r
i
l
l
a
t
i
o
n
.

W
h
i
c
h

m
e
d
i
c
i
n
e
s

i
s

s
h
e

t
a
k
i
n
g
?
Part ii: 150 Practice ECGs 189
P
r
a
c
t
i
c
e

E
C
G

1
2
6

A

7
6
-
y
e
a
r
-
o
l
d

m
a
n

w
h
o

i
s

a

p
a
t
i
e
n
t

i
n

t
h
e

p
u
l
m
o
n
a
r
y

u
n
i
t
.

W
h
i
c
h

m
e
d
i
c
i
n
e
s

c
o
u
l
d

b
e

u
s
e
d

t
o

c
o
n
t
r
o
l

t
h
e

h
e
a
r
t

r
a
t
e
?
190 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
2
7

A

3
5
-
y
e
a
r
-
o
l
d

m
a
n

o
n

t
h
e

d
a
y

a
f
t
e
r

c
o
r
o
n
a
r
y

b
y
p
a
s
s

s
u
r
g
e
r
y
.
Part ii: 150 Practice ECGs 191
P
r
a
c
t
i
c
e

E
C
G

1
2
8

A

7
2
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

v
a
g
u
e
,

n
o
n
s
p
e
c
i
f
i
c

c
h
e
s
t

p
a
i
n

u
n
r
e
s
p
o
n
s
i
v
e

t
o

a
n
t
a
c
i
d
s
.
192 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
2
9

A

7
7
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

M
I

a
n
d

c
o
n
g
e
s
t
i
v
e

h
e
a
r
t

f
a
i
l
u
r
e
.
Part ii: 150 Practice ECGs 193
P
r
a
c
t
i
c
e

E
C
G

1
3
0

A

2
3
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

i
r
r
e
g
u
l
a
r

p
u
l
s
e
.

M
u
s
t

w
e

b
e

c
o
n
c
e
r
n
e
d

b
y

t
h
i
s

a
r
r
h
y
t
h
m
i
a
?
194 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
3
1

A

7
3
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n
.

S
h
o
u
l
d

h
e

h
a
v
e

t
h
r
o
m
b
o
l
y
t
i
c

t
h
e
r
a
p
y
?

W
h
a
t

o
t
h
e
r

t
e
s
t
s

w
o
u
l
d

y
o
u

r
e
c
o
m
m
e
n
d
?
Part ii: 150 Practice ECGs 195
P
r
a
c
t
i
c
e

E
C
G

1
3
2

A

5
2
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

h
i
s
t
o
r
y

o
f

M
I
.

D
o

t
h
e

E
C
G

f
i
n
d
i
n
g
s

i
n
d
i
c
a
t
e

p
r
o
g
n
o
s
i
s
?
196 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
3
3

A

5
5
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

c
o
n
f
u
s
i
o
n
,

l
e
t
h
a
r
g
y
,

a
n
d

d
i
f
f
i
c
u
l
t
y

s
p
e
a
k
i
n
g
.
Part ii: 150 Practice ECGs 197
P
r
a
c
t
i
c
e

E
C
G

1
3
4

A
n

8
3
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

h
e
a
r
t

f
a
i
l
u
r
e
.
198 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
3
5

A

5
4
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

2

h
o
u
r
s

o
f

c
h
e
s
t

p
a
i
n

h
e

t
h
o
u
g
h
t

w
a
s

p
l
e
u
r
i
s
y
.

H
e

h
a
s

h
a
d

t
h
e

f
l
u
.
Part ii: 150 Practice ECGs 199
P
r
a
c
t
i
c
e

E
C
G

1
3
6

A

7
8
-
y
e
a
r
-
o
l
d

m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m

w
i
t
h

p
u
l
m
o
n
a
r
y

e
d
e
m
a

a
n
d

c
h
e
s
t

p
a
i
n

(
d
u
r
i
n
g

t
h
i
s

E
C
G

r
e
c
o
r
d
i
n
g
)
.
200 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
3
7

A

5
4
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

l
o
n
g

h
i
s
t
o
r
y

o
f

p
a
l
p
i
t
a
t
i
o
n
s
;

y
e
a
r
l
y

e
x
a
m
i
n
a
t
i
o
n
.
Part ii: 150 Practice ECGs 201
P
r
a
c
t
i
c
e

E
C
G

1
3
8

A

4
8
-
y
e
a
r
-
o
l
d

m
a
n

a
d
m
i
t
t
e
d

2

d
a
y
s

e
a
r
l
i
e
r

w
i
t
h

c
h
e
s
t

p
a
i
n

t
h
a
t

r
e
s
o
l
v
e
d

1
4

h
o
u
r
s

l
a
t
e
r
.
202 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
3
9

A

6
6
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

p
a
l
p
i
t
a
t
i
o
n
s
.

H
e

w
a
s

a
d
m
i
t
t
e
d

w
i
t
h

p
n
e
u
m
o
n
i
a

a
n
d

f
e
v
e
r
.
Part ii: 150 Practice ECGs 203
P
r
a
c
t
i
c
e

E
C
G

1
4
0

S
a
m
e

p
a
t
i
e
n
t

(
N
o
.

1
3
9
)
;

t
h
e

p
n
e
u
m
o
n
i
a

i
s

b
e
i
n
g

t
r
e
a
t
e
d

a
n
d

h
e

i
s

a
f
e
b
r
i
l
e
.
204 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
4
1

A

5
3
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

h
i
s
t
o
r
y

o
f

h
y
p
e
r
t
e
n
s
i
o
n

a
n
d

s
m
o
k
i
n
g
.
Part ii: 150 Practice ECGs 205
P
r
a
c
t
i
c
e

E
C
G

1
4
2

A

7
2
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

f
e
v
e
r

a
n
d

e
x
a
c
e
r
b
a
t
i
o
n

o
f

c
h
r
o
n
i
c

b
r
o
n
c
h
i
t
i
s
.
206 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
4
3

A

7
2
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n

o
f

6

h
o
u
r
s

d
u
r
a
t
i
o
n
.

I
s

t
h
e
r
e

a
n
t
e
r
i
o
r

i
s
c
h
e
m
i
a
?
Part ii: 150 Practice ECGs 207
P
r
a
c
t
i
c
e

E
C
G

1
4
4

A

5
9
-
y
e
a
r
-
o
l
d

m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m

w
i
t
h

r
a
l
e
s
,

c
h
e
s
t

p
a
i
n
,

a
n
d

a

s
y
s
t
o
l
i
c

b
l
o
o
d

p
r
e
s
s
u
r
e

o
f

8
0

m
m

H
g
.

W
h
a
t

i
s

t
h
e

a
p
p
r
o
p
r
i
a
t
e

t
r
e
a
t
m
e
n
t
?
208 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
4
5

A

5
9
-
y
e
a
r
-
o
l
d

m
a
n

w
h
o

h
a
d

c
o
r
o
n
a
r
y

b
y
p
a
s
s

s
u
r
g
e
r
y

4

w
e
e
k
s

e
a
r
l
i
e
r
.

F
o
r

t
h
e

l
a
s
t

w
e
e
k

h
e

h
a
s

h
a
d

p
l
e
u
r
i
s
y
,

f
e
v
e
r

a
n
d

m
y
a
l
g
i
a
.

H
i
s

f
a
m
-
i
l
y

d
o
c
t
o
r

b
e
g
a
n

t
r
e
a
t
m
e
n
t

f
o
r

p
n
e
u
m
o
n
i
a
,

b
u
t

h
e

h
a
s

n
o
t

r
e
s
p
o
n
d
e
d

t
o

a
n
t
i
b
i
o
t
i
c
s
.
Part ii: 150 Practice ECGs 209
P
r
a
c
t
i
c
e

E
C
G

1
4
6

A

6
9
-
y
e
a
r
-
o
l
d

w
o
m
a
n

i
n

t
h
e

e
m
e
r
g
e
n
c
y

r
o
o
m

w
i
t
h

c
h
e
s
t

p
a
i
n
.
210 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
4
7

A

7
6
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

a

u
r
i
n
a
r
y

t
r
a
c
t

i
n
f
e
c
t
i
o
n

a
n
d

p
o
s
s
i
b
l
e

s
e
p
s
i
s
.
Part ii: 150 Practice ECGs 211
P
r
a
c
t
i
c
e

E
C
G

1
4
8

A

7
0
-
y
e
a
r
-
o
l
d

m
a
n

w
i
t
h

c
h
e
s
t

p
a
i
n
.
212 150 Practice ECGs: Interpretation and Review
P
r
a
c
t
i
c
e

E
C
G

1
4
9

A
n

8
2
-
y
e
a
r
-
o
l
d

w
o
m
a
n

w
i
t
h

d
i
z
z
i
n
e
s
s

a
n
d

c
h
e
s
t

p
a
i
n
.
Part ii: 150 Practice ECGs 213
P
r
a
c
t
i
c
e

E
C
G

1
5
0

A

2
4
-
y
e
a
r
-
o
l
d

E
C
G

t
e
c
h
n
i
c
i
a
n
.

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