Acute Anterioseptal Myocardial ischemia
53/M c/o Severe chest pain (squeezing in nature) radiating to left arm and upper back a/w profuse sweating since 1 hr. k/c/o T2DM x 3 yrs on RX k/c/o smoker - 20 beedi / day x 25 yrs ECG taken Diagnosis and treatment??
Extensive Anteriolateral mi
ECG:ST Elevation in anterior lateral leads Reciprocal ST depression in inferior leads Sinus bradycardia Hyper acute T R/o anterolateralWMI Adv cardiac markers/2d echo/serum electrolytes/serial ECG s
Hyperacute T waves in V2 to V5.reciprocal changes in inferior wall leads.evolving anterior wall MI.
Hyper acute T in V3,4 . Inverted T in inferior leads Evolving ANTEROSEPTAL MI Observation, serial ECGS, troponin, thrombolysis , angio
There are st-t changes Sagging in L2L3 avf and acute repolarisation with st elevation in v2v3v4 Yes it is Acute anteroseptal myocardial ischimia Adv hospitalization manage with nitroglycerin drip Thrombolisation Monitor with cardiac enzymes Confirm trop i 2decho Adv angiography and sos angioplasty
Stemi with severe bradycardia admit 2decho angiography angioplasty or bypass as per report
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