49 yr old patient no complaints active lifestyle chest Xray taken the ECG shows AV nodal block? adviced for 2D echo please comment..

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Xray chest shows Concave pulmonary conus Tracing is nodal rythm suggest CHB R/o congenital heart disease Septal defects and valvular incompetence Yes 2decho is nice preposition
Thank you doctor
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Left heart enlargement, ECG Sinus rhythm,1st degree H.block and LAD
SUGGESTIVE. OF CARDIOMEGALY AV. NODAL. BLOCK ECHO
Boot shape heart i.e left ventricular hypertrophy
Thank you doctor
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Boot shapeh heart TOF
Tnx Dr Agarwal sb
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Cardiomegaly ECG is normal