65 yr male ch bidi smoker typical left sided chest pain since 15 days increaes since today morning n radiating to back today morning .bp 170 110.dx ecg pls
The voltage is rather low in chest leads with bradycardia, hence hypothyroidism and associated pericardial effusion must be considered in addition to above mentioned diagnosis of unstable Angina, old administration and axis deviation secondary to copy with a probability of WPW syndrome. Thanks
HR 75/min, Sinus rhythm, axis normal, pr/qrs/Qtc normal, significant Q in v1 to v3,ST depression in 2,3,avf,v6... findings S/o Old Anterioseptal Infarct with ?Post Infarct Angina.... Do follow up ecg's,Cardiac markers,2D echo,Blood sugars,Tsh,Lipids. Load with Dual Antiplatelets,High intensity statins,Nitrates,control Bp with betablockers, Acei/Arbs,Laxatives,Anxiolytics, If trop positive, start LMWX and refer for PCI....
Agree with the findings and line of treatment given by Dr S Pemira. Though pt is a biri smoker what tests he is able to afford and difinitly pci will be out of his reach. However medical treatment to be started on IHD line with Beta blocker to be preferable for HTN, aspirin and nitrates. And ofcourse to stop biri.
Low voltage ecg St depression in inferiolateral leads Hyperacute T wave with loss of r wave in v1 to v3 Anterioseptal mi
As there is QS complexes in V1-3 It's suggesting AWMI, however there is ST DEPRESSION IN INFERIOR LEADS AND ALSO ELEVATION IN AVR and depression in multiple leads there's fair chance that this pt has multivessel disease or left main disease.
It's a case of anterior wall myocardial infarction...
ecg shows St depression in inferior leads with poor progression of r wave in anterior leads with rbbb pattern suggest of acute nstemi. do cardiac enzyme, echo, rft, bsl cxr. start antiplt therapy with bp control
WPW syndrome with poor progression of r wave
Deep Queen wave from V1 to V6 No progression of Rural wave from V1 to V6. no changes in lead I or lead aVL . Suggest old myocardial infarction. Advise. Cardiac markers.
Anterior wall infarction.
Cases that would interest you
- Login to View the image
55 yrs old female pt bp spo2 rbs within normal limit no history of DM ht chest pain
Dr. Ravi Kediya4 Likes28 Answers - Login to View the image
70/Male known HTN Had chest discomfort from morning ECG attached your opinion
Dr. Delvin Blesso5 Likes71 Answers - Login to View the image
FOR INFORMATION ONLY: 55yr male, diabetic, presented at OPD with history of pain chest on exertion for last 3 months. ECG : INF. Wall MI ? duration TMT : was not done because of above ECG findings echo: WNL, no RWMA trop-T - negative CAG: coronaries found to be normal. ECG & angio pictures are posted
Dr. Sanat Sahoo8 Likes16 Answers - Login to View the image
29yo/m presents to the ED with chest discomfort. He describes his pain as dull non radiating behind the sternum. He states his pain began while he was walking around at work and is unrelieved by rest. Pain is non positional. Patient denies any prior cardiac Hx and has never experienced this discomfort before. He presents A/Ox4 with skin P/W/D. Denies N&V or SOB. Lung sounds clear and equal. Vitals all within normal limits. Patients pain is relieved after one sublingual nitro. Initial POC troponin is 0.18. Patient sent to catch lab. Thoughts?
Dr. Gopal Arora1 Like10 Answers - Login to View the image
A lady 30 year old.that's complaint chest pain(unstable angina) ECG repor normal Lipid profile report show(normal) I am proscribe--- 1.Arjuna churna 2.Arjunarista 3.prabhakar vati
Dr. Mohd Shahid3 Likes8 Answers
3 Likes