Concluded Case

ELECTROCUTION - ECG

49Y/M Electric shock (220 Volt, Home connection). Now complaints of palpitations. No h/o head injury. Shoulder (rt) dislocated.

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Concluded answer

Ecg -NSR sinus tachy cardia RBBB. No tt is required except anti anxiety drugs.carotid massage and valsalva manure is sufficient to reduce tachycardia. Orthopaedic consultation for rt dislocated shoulder needed.

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The typical ECG findings are conduction delay and/or premature repolarisation in the right precordial leads V1-V3. The ST segment is downsloping with an inverted T wave. This is often described as 'coved' type ST shift. The widened S waves characteristic of true RBBB are absent in the lateral leads.. Here RBBB.. Sinus Tachycardia.

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Ecg -NSR sinus tachy cardia RBBB. No tt is required except anti anxiety drugs.carotid massage and valsalva manure is sufficient to reduce tachycardia. Orthopaedic consultation for rt dislocated shoulder needed.

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Sinus tachycardia Manage dislocation by figure 8 bandage or orthopaedic surgeon opinion and management. Reassurance and counciling required to stabilize pt condition.

Thanks Dr Golam Murtaza
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SUGGESTIVE. OF SINUS. RHYTHM R BBB TACHYCARDIA ADVISABLE.... RULE. OUT BIFASCICULAR. BLOCK... NEEDS. FURTHER. EVALUATION....

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It is Rbb.needs close monitoring. May develop further cardiac arrhythmias due to electrical current injury to myocrdium

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Incidental finding Rb3 Tacycardia Tab inderal 10mg.bd Tab lexotanil 3mg. Hs Anxiety is likely

Is inderal safe in RBBB ? Kindly let me know it sir. REGARDS....
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Sinus tachycardia, RAD, RVH, RBBB pattern.Rt side of the heart is in strain.

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ECG shows right bundle branch block Sinus rhythm Tachycardia - 100 / min

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Ecg shows normal sinus rythm Treat accordingly

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S.Tachy RBBB Nothing acute in ecg Rx Symptomatic

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