Concluded Case

Sinus Tachycardia

54 year old female with complains of chest pain and Breathlessness in casualty.Known case of DM and HTN.BP 240/130 mmhg,Sp02 88 percent.

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Concluded answer

Sinus tachycardia with ST depression in 2,3,avf and v5,v6.Ischemia with heart failure.Adv 2 decho,BNP

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ECG shows sinus tachycardia ST segment depression in lead V4 - V6 could be related to sinus tachycardia Her blood pressure is high Adv Cardiac enzymes and 2 D echo to look for ischaemic heart disease Beta blocker to reduce blood pressure as well as tachycardia Vital support to maintain adequate oxygenation in ICCU

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Sinus tachycardia with ST depression in 2,3,avf and v5,v6.Ischemia with heart failure.Adv 2 decho,BNP

Thank you doctor
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S.Tachy Inferiolateral St depression with St elevation in aVr D D Demand supply mismatch Rate related St depression Hypertensive P.Odema Control BP and do Serial ecg

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Pt is uncontrolled hypertensive Tracing shows sinus tachycardia Adv if not on metaprolol than add and evaluate of impending ischimia

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