Concluded Case

46 yrs female, obese ,in perimenopausal c/o breathlessness since 20 days. Mild fever for 2 days. Only significant findings are in ECG and thyroid reports. 2D echo confirmed the diagnosis. X ray chest. mild cardiomegaly.Kindly give ur opinion.

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Concluded answer

hypothyroidism with global T wave inversion and 2D echo shows pericardial effusion.

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Hypothyroid with st-t changes.

Hypothyroidism

Absolutely true sir.

hypothyroidism with global T wave inversion and 2D echo shows pericardial effusion.

Hypothyroidism with cardiomyopathy 2Decho Looks like NSTEMI Get F.lipids S.vit D FBG

Hypothyroidism start tab eltroxine 100m o.d

I agree
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As. per. the. REPORTS... Sub Endocardial ISCHAEMIC...?.. Hypothyroidism....?? Myxoedema..?

Hypothyroidism ....cause of low voltage graph.....plus thre r t inv iin 2nd 3rd all ant n lat leads st changes in ant lat leads.....seems like ischaemic changes......dyspnoea could b part of ischaemia n lvf.......

She is a c/o hypothyroidism with mild changes of st depression ecg is low voltage and supports hypothyroidism so far cardiomegaly is concerned that can be feature of hypothyroidism /myxaedema

Thanx dr Manuprsad Dayaram Acharya
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St depression in Anteriolateral leads Downup T wave with Prolonged Qtc 500ms Check S.K, S.Mg Hypokalemia &/Hypomegnesemia If Lytes r normal than consider subendocardial ischaemia

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