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
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.
It's a case of anterior wall myocardial infarction...
Old Ant wall MI with WPW syndrome.
wpw syndrome
seems like anterior wall MI ..cardiac markers ?
Low voltage ecg St depression in inferiolateral leads Hyperacute T wave with loss of r wave in v1 to v3 Anterioseptal mi
seems like ant.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....
anterior wall ischemia --> progressing to angina... (htn. mild st changes in 2 and avf... progression of qrs complex is lost) before this its better to rule out gastric and pulmonary pathology.. becz chronic smoker.. so gerd.. ulcers.. sometimes mimic chest pain..
WPW syndrome with poor progression of r wave
Cases that would interest you
- Login to View the image
32 year old male no known comorbidity Complaints of diffuse chest pain since midnight No radiation of pain' No sweating No family history of cad Kindly suggest management and diagnosis
Dr. Ankit Hissaria8 Likes97 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
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
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
3 Likes