Patient c/o SOB, pedal edema. BP = 110/70. kindly interpret ecg?

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First degree AV block Acute Inferior Wall MI
In this patient presenting as sob with pedal edema and ecg shows features suggestive of LV enlargement with some LV strain pattern with ST depression in lateral leads. There is no definite evidence of IWMI. No h/o chest pain. Treat the patient as LV dysfunction as Cardiomyopathy. Get ECHO and x-ray done. If RWMA is present than plan for CAG after stabilization
Standard 20 mm. Low voltage complexes in limb leads. NSR. Axis normal. PR prolonged .ST elevation in inferior leads . Reciprocal changes in aVL. ST flattening and acute ST -T angle in V 4-6. Interpretation. STEMI inferior wall. Lateral wall ischemia. First degree heart block.
First degree AV block with Evolving IWMI ;Order cardiac enzymes ,2 D Echo, Serial ECG
First degree AV block iWMI
Concave shaped ST elevation in inferior leads ||, |||, avF with ST depression in lateral leads.....should not be commented on without the cardiac work up ....Enzymes urgent f/b 2d-Echo....First degree AV block is present.... Probably a case of Ischemic Cardiomyopathy
SInus rhythm... AXIS normal... First degree block... ST elevation in inferior leads 2,3 avf ST depression in lead 1, avl, v5 v6.. Highly suggestive of IWMI..leading to right ventricle failure vch is responsible for pedal odema, low BP n DOE...
IHD C LEFT AXIS DEVIATION NEEDS FURTHUR INVESTIGATIONS LIPID PROFILE STRESS TEST TROPT SOS ANGIOGRAPHY ANTERIOR AREA SHOWS ISCHEMIA C INFARCT PATTERN IN INFERIOR AREA
Ecg shows ST elevation in 2 , 3 and avf, with q waves , T inversion in 1 and avl . Inferior wall MI , lateral wall ischemia , likely left circumflex involvement.
- Ist degree AV BLOCK with INFERIOR WALL MI with LAT. WALL ISCHEMIA . adv.- 2dEcho- Lipid Profile & enzyme status.- Angiography.
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