65 years Male with K/C/O Hypertension on T.Ecosprin 150 & T.Nifedipine complaining of left sided chest pain since 1 hour.Please comment on ECG..

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NSR, left axis deviation. Otherwise normal ECG. May go for cardiac enzymes. And serial ECGs.

Left axis deviation Otherwise normal ECG. May go for cardiac enzymes.

-30° - 90° LAD Electrical axis is within normal limits

ECG... .... WNL... ADVISABLE.... SERIAL. ECG ENZYMES

ECG changes are within normal limits

WNL. Advise serial ECG & enzymes.

LAD NORMAL ECG

It is a Normal ECG Sometimes ECG changes can appear late in a case of acute coronary syndrome Therefore, serial ECG are advised Troponin, CPK MB may further help in ruling out acute severe ischaemia Kindly look for noncardiac causes of left chest pain such as APD, musculoskeletal

Axis -15°,PR .14msec,HR92/Mt, Sinus rhythm,QRS,ST-NAD Imp- Sinus tachycardia, there is no LAD Overall ecg-NAD

Left axis daveation , EKG normal, More cardiovascular investigation needed. Dr. S. L. Gupta.

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