50yr / male c/o difficult breath - ghabaramn - mild chest pain on and off since 1 year .. kco ht
Ecg-TWNL. D/D-1-Copd with allergic asthma. 2-acidopeptic disorder. 3-anxity neurosis. Control blood pressure. Do-1-spirometry. 2-xray chest PA view. 3-Upper GI endoscopy. 4-CAG.
Sinus rhythm, T wave inversion in lead1 and AVL ,v5,v6 with horizontal St segment suggestive of ischemia.low voltage tracing seems electrical alternance. Needed trop T, electrolyts, TFT, lipid profile,cal,mg, CXR PA view, ECHO.
ECG stable. Adv cxray. Echo CD. PFT. Evaluate and treat for costochondritis or anxiety.
SINUS TACHYCARDIA L0W VOLTAGE GRAPH MAY HAVE COPD 1FOR SOB + INTERCOSTAL MYALGIA FOR PAIN CHEST
PL ADD TO MY POST LOW VOLTAGE GRAPH = FITS TO COPD ( EMPHYSEMA ) & NOT TO BRONCHIAL ASTHMA
Although it is NSR , there are some fluctuations in R wave voltage which may be Electrical Alternans. Please do an Echo.
Electrical axis is within normal limits
2 degree heart block
ST sagging in avL & Q wave & QS complex in V1 ? ASMI Trop I & Cardiac enzymes 2D echo
NSR
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