24 y/o M with no PMHx originally presented to an urgent care for a sore throat. During physical exam at the urgent care he was found to be tachycardic with a systolic ejection murmur. ECG was ordered at urgent care and he was found to have the tracing shown above. Sent to the ED where his labs were significant for a mildly elevated troponin (0.08 - <0.02 is normal). Echo and 2-view CXR were also ordered. No chest pain, no syncope/near syncope, no dyspnea on exertion, no orthopnea, no SOB, no cough, he denies palpitations but does endorse being conscious of a few episodes of rapid heart rate in the past few months. What more would you like to know? What is the most likely diagnosis? How would you treat?

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Ecg suggests narrow complex tachycardia (HR 150/min) with tall T waves (hyperkalemia?) and flattening St segment in inferior leads..with high voltage tracings.. Seems to b SVT. Ad- check s potassium level ro rule out hyperkalemia. Get done 2d echo to rule out valvular pathology. Ad- controll rate with oral diltiazem and oral metoprolol.

Thanks dr gaurav
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ECG =RAD SINUS TACHYCARDIA LAE ,( SEE V4 ) OLD INFERIOR WALL MI TALLPOINTED T V2 V3 V4 = HYPOKALAEMIA TO BE EXCLUDED q in V5 V 6 = NON SIGNIFICANT BLOOD = K + LIPIDS T3 T4 TSH ECHOCARDIOGRAM RX A BETABLOCKER ACE ,ARB ASPIRIN PPI .... .. STATIN

P.Pulmonale S.Tachy Inferioposteriolateral Q wave Narrow pointed T wave in chest leads Check S.K Advise to check Hb, thyroid function CMRI - to ruled out HOCM

Sinus tachycardia with strain pattren...rx beta blockers.....ananxiety drugs

Sinus tachycardia with af Since troponin are raised with st elevation r/o awmi

Sinus tachycardia.Get the CBC and chest xray.Anemia also causes tachycardia and functional murmur.

Supraventricular tachycardia

SVT ADV HOLTER MONITERING AND STRESS TEST drugs dilzem 90 sr and metolar 25 sr

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