60yr male Patient came with complaint of chest pain, exertion, profuse sweating. Patient is Hypertensive and taking telmisartan as antihypertensive. What are the findings in ECG. What is the diagnosis and what will be further treatment plan.

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J point raised in leads v2 v3v4 it can be taken as acute coronary insufficieny so admit the pt in ICU for observation Bed rest O2 tab sulingual sorbitrate Asprin tab Metaprolol 25 mg Bd Cardace 1,25 mg Bd & sedative continued monitering cardiac enzyme study repeat ECG after 24 hrs or sos

this is ecg does not look typical ST elevation MI . blood pressure is not mentioned. at present give supportive Rx . watch for cardiac bio markers and renal function and electrolytes .. and serial ecg at 1 and 2 HR to watch for ST changes

H/0 is not sufficiant so pls provide , ECG looks normal , pls do cardiac markers and add long actind nitrate and beta blockers . and also see copd and lungs problem before starting betablockers.

It's a case of hyperkalemia.

How can we explain chest pain if it's hyperkalemia sir?

I am having the same doubt .
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ELDERLY HTN SYMPTOM SUGGESTIVE IHD M I REPEAT ECG ( PRESENT ONE IS NOT A GOOD TRACING) BLOOD TROP I SUGAR CREATININE O2 SATURATION NITROGLYCERINE SUBLINGUALLY ANTE PLATELET PO PPI WATCH WITH SERIAL ECG

BP is not mentioned chest pain may be due to hypertension is it typical angina? Take serial ecgs send markers if it is negative than plan echo tmt in next follow up

ECG Looking Normal.. Symptoms suggest May be IHD.. Give loading Aspirin Clopidogrel Atorva Sorbitrate ppi anxiolytic nd keep in observations repeat ECG..

Possible left atrial hypertrophy is the only ECG finding at the moment.This does not fit with complaints offered.Rare though,telmisartan may sometimes cause chest pain and breathing difficulty,as also other allergic features.

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