69 years old man came in with sudden onset of shortness of breath for 3 days . BG -DM . Obesity . Is this SVT or atrial flutter. Trop 298 . D dimer-394 . Is this ischemia induced .

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Svt , bifasicular block...

Rbbb with myocardial infarction

Atrial tachycardia

SVT with RBBB

Acs with RBBB

SVT with RBBB adv. Echo and angiography.

Not fully conclusive , ? RBBB , advise further investigation like angiography etc and complete blood analysis with assessment as required may be helpful.

SVT Bi-fascicular block / RBBB Can't comment on ST/T changes in view of SVT RBBB with Left axis is usually ischemia induced In view of +ive troponin and ECG changes, treat as NSTEMI

qRBBB SVT

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