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    ECG HR Aquino

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    Jestin Aquino
    This document summarizes 5 patient cases seen by Dr. Francis Jestin S. Aquino on August 18, 2023. Each case includes a brief clinical history, diagnoses, and electrocardiogram findings. The cases include patients presenting with headache, abdominal pain, bipedal edema, left-sided body weakness, and difficulty breathing. Key findings across the ECGs include normal sinus rhythm, no conduction blocks, and variations in axes, hypertrophy, ischemia, and other abnormalities depending on each patient's cardiac and overall health conditions.

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    ECG HR Aquino

    Uploaded by

    Jestin Aquino
    5 views11 pages
    This document summarizes 5 patient cases seen by Dr. Francis Jestin S. Aquino on August 18, 2023. Each case includes a brief clinical history, diagnoses, and electrocardiogram findings. The cases include patients presenting with headache, abdominal pain, bipedal edema, left-sided body weakness, and difficulty breathing. Key findings across the ECGs include normal sinus rhythm, no conduction blocks, and variations in axes, hypertrophy, ischemia, and other abnormalities depending on each patient's cardiac and overall health conditions.

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    This document summarizes 5 patient cases seen by Dr. Francis Jestin S. Aquino on August 18, 2023. Each case includes a brief clinical history, diagnoses, and electrocardiogram findings. The cases include patients presenting with headache, abdominal pain, bipedal edema, left-sided body weakness, and difficulty breathing. Key findings across the ECGs include normal sinus rhythm, no conduction blocks, and variations in axes, hypertrophy, ischemia, and other abnormalities depending on each patient's cardiac and overall health conditions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    5 views11 pages

    ECG HR Aquino

    Uploaded by

    Jestin Aquino
    This document summarizes 5 patient cases seen by Dr. Francis Jestin S. Aquino on August 18, 2023. Each case includes a brief clinical history, diagnoses, and electrocardiogram findings. The cases include patients presenting with headache, abdominal pain, bipedal edema, left-sided body weakness, and difficulty breathing. Key findings across the ECGs include normal sinus rhythm, no conduction blocks, and variations in axes, hypertrophy, ischemia, and other abnormalities depending on each patient's cardiac and overall health conditions.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 11

    ECG

    HOUR
    Francis Jestin S. Aquino, MD
    Yr II
    Aug 18, 2023
    Case 1
    RL 84/F
    CC: headache

    Dx: Vascular headache


    BPPV
    HCVD
    Type 2 DM insulin requiring, controlled
    Case 1
    PR 0.20s

    Rate 79
    Rhythm Sinus
    Conduction
    abnormalities
    No block

    Axis Normal axis


    Hypertrophy -
    Ischemic -

    Poor r wave
    conduction

    Others II RSR pattern

    V2 aberrancy –
    misplaced lead?
    Case 2
    VP
    76/F

    CC: abdominal pain

    Dx: Sepsis secondary to 1. complicated UTI 2. CAP-MR


    Septic encephalopathy
    Jaundice sec. to infection; t/c hepatitis infection
    AKI sec to sepsis
    Multiple electrolyte imbalance (hyponatremia hypokalemia)
    HCVD
    Type 2 DM non insulin requiring, uncontrolled
    Hyperuricemia
    dyslipidemia
    Case 2
    PR 0.15s

    Rate 110 tachycardia


    Rhythm Sinus
    Conduction
    abnormalities
    No block

    Axis Normal axis


    Hypertrophy

    Ischemic

    Others
    Case 3
    MM 50/F
    CC: bipedal edema

    Dx: Acute Decompensated Heart Failure NYHA Class II


    CAP-MR
    CKD Stage 5 not on HD secondary to HTNSS
    Renal Anemia sec. to CKD
    Multiple electrolyte imbalance (hyponatremia hypocalcemia
    hypokalemia) sec. to renal losses
    HASCVD
    Dyslipidemia
    Hyperuricemia
    Case 3
    PR 0.19

    Rate 76
    Rhythm Sinus
    Conduction
    abnormalities
    No block

    Axis Normal axis


    Hypertrophy -
    Flat t waves on V4-
    Ischemic
    V6
    Poor r wave
    progression
    Others
    Case 4
    BJ 81/M
    CC: left sided body weakness

    Dx:
    Acute CVD infarct, right caudate
    Multiple chronic infarcts
    Type 2 DM insulin requiring, uncontrolled
    HASCAD s/p CA PCI
    CKD St3b sec to HTNSS
    Dementia
    Hypothyroidism
    Case 4
    PR 0.20s

    Rate 97
    Rhythm Sinus
    Conduction
    abnormalities
    No block

    Axis Right axis deviation


    Hypertrophy LVH
    Widened QRS on I,
    II, AVR, AVL, V4-V6
    Ischemic II, V1 RSR pattern
    Complete right
    bundle branch block

    Others
    Case 5
    GM 63/F
    CC: difficulty of breathing

    Dx: Pericardial effusion w/ massive pleural effusion, right


    secondary to malignancy
    Pulmonary mass vs mediastinal mass anterior, more on the right
    Breast CA Stage 4 w/ liver metastasis
    Case 5
    PR 0.114

    Rate 106
    Rhythm Sinus
    Conduction
    abnormalities
    No block

    Axis Normal axis


    Hypertrophy

    Ischemic

    Low qrs amplitude

    Poor r wave
    Others progression

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