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.

6 Likes

LikeAnswersShare
Concluded answer

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

All Answers

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
0

View 2 other replies

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

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.......

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

ECG sinus rhythm with globally t wave inversion. TSH level is too high (Hypothyroidism).

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

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

Pt must be irregular medications for thyroid or changes the dose by herself, respiratory distress n fever is associated with cardiac cause.?? Myocarditis

Hypothyroid with st-t changes.

Hypothyroidism start tab eltroxine 100m o.d

I agree
0
Load more answers

Cases that would interest you