Concluded Case

Unstable Angina ? Or Just LVH

48, M, no comorbidity, epigastric pain radiating to jaw for 3 days. Vitals stable . Examination normal . CK mb , trop i negative , repeat ECG- No new changes . What could be diagnosis ?

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Concluded answer

Lt axis deviation Lt ventricular hypertrophy Hypertensive angina

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Lt axis deviation Lt ventricular hypertrophy Hypertensive angina

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Dx as per Echo

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Anterior wall ischaemia. Do echo and cardiac enzymes.

CKMB trop I WNL , Echo No Rwma , LVH
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Posterior MI

Plan Coronary angiography to R/O lesion

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