55 year female with vomiting and breathlessness and bradycardia 45 HR kindly provide your valuable opinion on ecg

3 Likes

LikeAnswersShare

ECG. Sinus Bradicardia. Otherwise basic ECG is normal. Pt. have vomiting so you do MRI OR CT BRAIN. Possibility increase intracranial pressure So ruldout CNS pathology if it is normal Then Pt. May have sick sinus syndrome And require pacing

Sick sinus syndrome. Rule out apd
0

Sinus bradycardia,low voltage in limb leads, st segment horizontal in most of the leads. H/o vomiting no vitals mentioned may be hypotension fluid electrolyts loss dehydration, needed further investigation BSR,electrolyts, cal,mg. CNS examination.

Sinus bradycardia, low voltage complexes Get a complete cardiac w/u, CXR, TFTs, lytes, renal status, CNS examination to rule out raised ICT conditions, also need to rule out any drug overdose or poisoning like morphine

Vomiting, dyspnea, sinus bradycardia in ECG. More clinical history and physical findings required to reach a provisional diagnosis. Anyway, my approach would be: If fever +/- diarrhea/constipation/abd bloating or pain/headache/encephalopathy/cecal gurgling on palpation: consider enteric fever. If neurological findings predominate: consider increased intracranial pressure. If volume overload/oliguria/anuria/CKD risk factors: consider uremia and check serum K+. Repeat serial ECGs and try to find out new ischemic features. Manage accordingly.

Sinus bradycardia Rule out hypokalemia as the patient having vomitings If there is also altered senosorium look for any FND

S.bradycardia Flat st segment in multiple leads Check S.K, S.Calcium

Its a case of sinus bradycardia.

Sinus Bradicardia

SICK SINUS SYNDROME ( SINUS BRADICARDIS ) ECG FINDING IS NON CONTRIBUTORY TO HER PRESENT SYMPTOMS

Non STEMI,CHB.

Load more answers

Diseases Related to Discussion

Cases that would interest you