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Hanna EB, Glancy DL. Management of atrial fibrillation. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2009; 161:266, 268, 270 passim. [PMID: 19927940] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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127
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Glancy DL, Jain N, Jaligam VR, Parker JM, Ali MJ, Rochon BJ. ECG of the month. Irregular cardiac rhythm immediately after mitral and tricuspid valvular surgery. Diagnosis: Sinus tachycardia with atypical type I (Wenckebach) second-degree atrioventricular (A-V) block and right bundle branch block. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2009; 161:185-187. [PMID: 19785307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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128
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Glancy DL, Jain N, Ali MJ, Lopez C, Nijjar VS, Lata S, Daniels CL. Type I Second-Degree Atrioventricular Block and Intermittent Left Posterior Fascicular Block in a 26-Year-Old Woman with an Inferoposterior Acute Myocardial Infarct. Proc (Bayl Univ Med Cent) 2009; 22:285-6. [DOI: 10.1080/08998280.2009.11928534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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129
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Jones MB, Glancy DL, Jain N. ECG of the month: right-axis deviation of the QRS complex with precordial R-wave regression. Situs inversus with mirror-image dextrocardia, sinus rhythm, and a long P-R interval. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2009; 161:125-128. [PMID: 19772032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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130
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Glancy DL. Wide-Qrs Tachycardia Immediately After Aortic Valve Replacement. Proc (Bayl Univ Med Cent) 2009; 22:166-7. [DOI: 10.1080/08998280.2009.11928507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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131
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Glancy DL, LeBlanc SR. Ecg of the month. Arrhythmia on an ambulatory electrocardiogram. Sinus rhythm with second degree atrioventricular block, type I (Wenckebach); non-conducted atrial premature complexes; and concealed conduction of the fourth sinus P wave into atrioventricular junction. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2009; 161:64-66. [PMID: 19489387] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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132
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Jones MB, Wadgaonkar S, Yount RD, Glancy DL. Stenting of the proximal left subclavian artery with relief of coronary-subclavian steal syndrome. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2009; 161:107-110. [PMID: 19489392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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133
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Glancy DL, Nijjar VS, Jones MB. ECG of the month. Bigeminal rhythm III. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2009; 161:5-7. [PMID: 19278162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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134
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Glancy DL, Newman WP. Atrial fibrillation with QRS voltage low in the limb leads and high in the precordial leads. Proc (Bayl Univ Med Cent) 2008; 21:437-8. [PMID: 18982091 DOI: 10.1080/08998280.2008.11928447] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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135
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Glancy DL, Daniels CL. ECG of the month. Variations on the common theme of premature atrial complexes. Sinus rhythm with premature atrial complexes (PACs) occurring singly, in couplets, and in triplets. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2008; 160:304-307. [PMID: 19283976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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136
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Glancy DL, Rodriguez JF. ECG of the month. Use of reciprocal electrocardiographic leads: sinus bradycardia. High lateral acute ST-elevation myocardial infarction. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2008; 160:245-246. [PMID: 19048977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
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137
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Glancy DL, Jain N, Parker JM. ECG of the month. ECG read as normal in a man with chest burning and an elevated serum troponin level. Posterior myocardial infarct. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2008; 160:185-187. [PMID: 18828458] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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138
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Glancy DL. Constrictive pericarditis. A diagnostic challenge. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2008; 160:183. [PMID: 18828457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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139
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Glancy DL. Wolff-Parkinson-White–Type Ventricular Preexcitation Mimicking Left Ventricular Hypertrophy and an Inferoposterior Myocardial Infarct. Proc (Bayl Univ Med Cent) 2008; 21:335-6. [DOI: 10.1080/08998280.2008.11928421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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140
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Glancy DL, Wilklow FE, McDermott DT. ECG of the month. Irregular cardiac rhythm in a 76-year-old man. Ventricular aneurysm. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2008; 160:125-126. [PMID: 18655647] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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141
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Glancy DL, Devarapalli SK, Makkena B, Subramaniam P. Dyspnea in a Pregnant 20-Year-Old Woman with Electrocardiographic Right Ventricular Enlargement. Proc (Bayl Univ Med Cent) 2008; 21:184-5. [DOI: 10.1080/08998280.2008.11928390] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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142
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Glancy DL, Devarapalli SK, Wang WL, Wilklow FE, Rochon BJ, Helmcke FR, Heck HA. Ecg of the month. Unusual electrocardiogram 42 years after operation for supravalvular aortic stenosis and 6 years after aortic valve replacement. Sinus rhythm with first degree atrioventricular block. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2008; 160:64-67. [PMID: 18681350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
A 43-year-old man came to the hospital because of increasing dyspnea for two weeks. At age nine months the patient was evaluated for failure to thrive, and a diagnosis of valvular aortic stenosis was made. At operation the aortic stenosis was found to be supravalvular, and the ascending aorta was enlarged with a Teflon patch, the proximal end of which was placed in the noncoronary sinus of Valsalva. The aortic valve was bicuspid but otherwise appeared normal. Postoperatively the patient did well until six years ago when he developed increasing dyspnea on exertion, orthopnea, and paroxysmal nocturnal dyspnea. Echocardiography revealed a peak systolic pressure gradient across the aortic valve of 80 mmHg, severe aortic regurgitation, and moderate mitral regurgitation thought to be functional. Coronary arteriograms were normal. The patient underwent aortic valve replacement with a 23 mm Hancock 2 porcine heterograft prosthesis. He again did well postoperatively until a year before the current admission when dyspnea on exertion developed and culminated in two weeks of severe orthopnea and paroxysmal nocturnal dyspnea. The electrocardiogram (ECG) recorded on admission is shown in the Figure.
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Glancy DL, Wilklow FE, Lopez C, Makkena B, Helmcke F. Regular Narrow Qrs and Regular Wide Qrs Tachycardias in a Woman with Mitral Regurgitation of Uncertain Etiology. Proc (Bayl Univ Med Cent) 2008; 21:75-6. [DOI: 10.1080/08998280.2008.11928365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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Glancy DL, Wilklow FE, Lopez C, Helmcke FR. ECG of the month. Chest pain in a young woman. Sinus tachycardia (rate, 102/min) with widespread ST-segment and PR-segment changes of acute pericarditis. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2008; 160:5-6. [PMID: 18669401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Glancy DL, Hanna EB, Hollman J. ECG of the month. Electrocardiogram in a woman with rheumatic heart disease. Normal sinus rhythm, left atrial enlargement with intra-atrial block; left ventricular hypertrophy with repolarization abnormality. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2007; 159:295-297. [PMID: 18390264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
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Glancy DL, Wilklow FE, Devarapalli SK, Subramaniam PN, Moustoukas NM, Kukuy E. Sequential heart murmurs in a 43-year-old man with congenital heart disease. Proc AMIA Symp 2007; 20:406-7. [PMID: 17948118 DOI: 10.1080/08998280.2007.11928335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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147
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Glancy DL, Jones BP. ECG of the month. Narrow QRS tachycardia with group beating. Atrial flutter with atrioventricular block at 2 levels: 2:1 above and 4:3 type I block (Wenckebach) below (Figure 2), left axis deviation. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2007; 159:239-285. [PMID: 18220089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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Glancy DL, Wilklow FE, Jain N. Ecg of the month. Profound bradycardia during passage of a Swan-Ganz catheter. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2007; 159:183-230. [PMID: 17987953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
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149
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Glancy DL, Glancy CF. Wide Qrs Tachycardia in a Young Woman with a Drug Overdose. Proc (Bayl Univ Med Cent) 2007; 20:305-6. [PMID: 17637887 PMCID: PMC1906582 DOI: 10.1080/08998280.2007.11928309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
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150
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Glancy DL, Smith JM, Wilklow FE, Lewis RS. ECG of the month. Chest tightness and electrocardiographic changes during a dipyridamole-technetium-99m-sestamibi myocardial perfusion study. Myocardial ischemia. THE JOURNAL OF THE LOUISIANA STATE MEDICAL SOCIETY : OFFICIAL ORGAN OF THE LOUISIANA STATE MEDICAL SOCIETY 2007; 159:123-5. [PMID: 17694930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
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