65 year Chest burning and epigastric burning and cold sweating no chest pain on other compl. Trop I mild positive
ECG findings. sinus bradycardia flattened p waves pr interval fixed prolonged St depression in antero lateral leads. Two DD S. 1.NSTEMI .. 2.HYPOKALEMIA troponin T mildly positive. serial ecg .echo.sr electrolytes to b done. .meantime treat as CAD ACS NSTEMI
Age trop i mild positive history t wave inverted inlead one 2 avl v1 v2 lbbb st sagging down in v3 to v6 bradycardia do 2 decho angiography trop t test
T inversion 1 avl.st sagging v2 v6.it is ACS.Pl.go for serial ecgs 2d echo Pl start double antiplatelet agents statins LMWH. Ntg infusion. Further line of management depends on the investigations May need thrombolysis/coronary in
Hyperacute T wave in lead 3, avf maximal st depression in chest leads v3 Subtle st elevation in lead v1 IWMI with R.V involment
anterolateral ischaemia...unstable angina with first degree av block with bradycardia..early CAG needed..check potassium also
ecg showing...sinus bradycardia heart rate ~54 & also showing st segment depression other investigations needed are detailed history taking,past history needed,either diabetic or non diabetic,and serum electrolytes,lipid profile,cbc count,stress test also needed,and higher diagnostic techniques like 2d echo and angiography needed treatment modality will be oxygen supply,tab aspirin low dose,tab atrovastatin,tab beta blockers or tab calcium channel blockers....
Type 1 heart block prolonged pr interval with septolateral strain pattern n sinus bradycardia
anterolat ischemia unstable angina...echo and early CAG
Septal & lateral wall infarction with anterior wall ischaemia, advised angiography, may require CABG.
anteriolateral Ischemia. CPK-MB. Echo . nitrates clavix 300mg stat stating. Simvas 60 mg stat Ecosprin 150
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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??
Dr. Nelson Jd51 Likes251 Answers - Login to View the image
35/male came with complaints of chest pain; tropinin I negative; interpret ecg
Dr. Isha Garg8 Likes28 Answers - Login to View the image
one hour chest pain with ghabrahat vital stable please coment on ecg
Dr. Ramavatar Bairwa3 Likes18 Answers - Login to View the image
32 yr old male c /o chest pain ,DOE since 3days h/o . betel nuts chewing since 3 years. Plz your opinion. ........
Dr. Akshay Ingole21 Likes33 Answers - Login to View the image
ACUTE CORONARY SYNDROME Acute coronary syndrome (ACS) refers to a spectrum of clinical presentations ranging from those for ST-segment elevation myocardial infarction (STEMI) to presentations found in non–ST-segment elevation myocardial infarction (NSTEMI) or in unstable angina. It is almost always associated with rupture of an atherosclerotic plaque and partial or complete thrombosis of the infarct-related artery. Signs and symptoms ■ Palpitations ■ Pain, which is usually described as pressure, squeezing, or a burning sensation across the precordium and may radiate to the neck, shoulder, jaw, back, upper abdomen, or either arm ■ Exertional dyspnea that resolves with pain or rest ■ Diaphoresis from sympathetic discharge ■ Nausea from vagal stimulation ■ Decreased exercise tolerance Physical findings can range from normal to any of the following: ■ Hypotension: Indicates ventricular dysfunction due to myocardial ischemia, myocardial infarction (MI), or acute valvular dysfunction ■ Hypertension: May precipitate angina or reflect elevated catecholamine levels due to anxiety or to exogenous sympathomimetic stimulation ■ Diaphoresis ■ Pulmonary edema and other signs of left heart failure ■ Extracardiac vascular disease ■ Jugular venous distention ■ Cool, clammy skin and diaphoresis in patients with cardiogenic shock ■ A third heart sound (S 3) and, frequently, a fourth heart sound (S 4) ■ A systolic murmur related to dynamic obstruction of the left ventricular outflow tract ■ Rales on pulmonary examination (suggestive of left ventricular dysfunction or mitral regurgitation) Potential complications include the following: ■ Ischemia: Pulmonary edema ■ Myocardial infarction: Rupture of the papillary muscle, left ventricular free wall, and ventricular septum.
Dr. Girish Dahake1 Like6 Answers
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