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1、,SELFASSESSMENT,Case 1.,a. Atrial septal defect b. Partial right bundle branch block c. Brugadas syndrome d. False image of right bundle branch block,A young, asthenic man, with no apparent heart disease. The figure shows an ECG recording in V1, V2 and V3 leads located in 2nd (A), 3rd (B) and 4th (C
2、) intercostal space. What is the correct diagnosis?,Case 2,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,A 27year-old man, with no apparent heart disease. What is the correct
3、diagnosis?,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 4,A 28-year-old ver
4、y 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 hemiblockD. Vertical heart,Case 5,A 35-year-old man with no apparent heart disease. What is the correct diag
5、nosis?A. Heart with no apparent rotation B. Vertical heart C. Horizontal heart D. Indeterminate electrical axis,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
6、7,These are leads V1 and V2 of a 60-year-old woman with a heart disease. Which is the correct diagnosis?A.Lateral myocardial infarction B.Significant right enlargement C.Complete right bundle branch block D.Type-II WolffParkinsonWhite Syndrome,Case 8,This is a 45-year-old patient suffering from a he
7、art disease, with the diagnosis having been made 30 years ago. Which is the correct diagnosis?A.Significant left ventricular and atrial enlargement B.Complete left bundle branch block C.Complete superoanterior hemiblock D.Acute septal infarction,Case 9,This is a 65-year-old patient. The history-taki
8、ng 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 B.Complete right bundle branch block C.Acute coronary syndrome with a negative T wave from V1 to
9、V3 D.Normal variant (vertically-orientated heart) with no associated disease,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.Mit
10、ral regurgitation,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 B.Complete left bundle branch block C.Significant left ventricular enlargement D.Mild l
11、eft ventricular enlargement,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 bran
12、ch block D.Brugadas syndrome,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 B.Complete left bundle branch block in a patient with a dilated cardiomyopathy, probably of the ischemic typ
13、e. C.Isolated complete left bundle branch block D.Type-I WolffParkinsonWhite Syndrome,Case 14,This is a 34-year-old patient with frequent paroxysmal arrhythmia crises. Which is the correct diagnosis?A.Lateral myocardial infarction B.Type-III WolffParkinsonWhite Syndrome C.Right ventricular enlargeme
14、nt D.Complete right bundle branch block,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?A.Lateral myocardial infarction + ventricular tachycardia B.Type IV WolffParkinson-White syndrome + paroxysmalatr
15、ial 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 le
16、ads II, III and VF, with a more significant ST elevation inlead 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?A.Distal right coronary artery B.Dominant right coronary artery proximal to the right ventricle branch C.Proximal left circumflex coronary artery D.Distal left circumflex coronary artery,
