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

Correct administration to anterior wall MI

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....

nice explain Dr sandeep sir

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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.

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