a 32 yrs male present with chest pain and burning feet since 5days bp pulse normal lungs bl cear no other positive findings dx rx please.

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may be normal egg. some components of inferior wall ischaemia, or subendocardial infarction may be considers depending clinical symptoms and positive biochemical marker assay.
Horizontal st depression inf leads adv cardiac evaluation s. potassium
ECG normal, rule out diabetes, advised B- complex.
Sinus rhythm, Right ward axis, PR/QRS/Qtc normal, Downsloping St depression in isolated lead 3 Tall T in V2 physiological U waves in precordial leads No Chamber hypertrophy No other significant St-t changes If u Correlate it Clinically, then it's normal
st depression in lead 3, avf U wave present in chest leads 1st check S.K by definition u can say inf wall ischemia but at this stage i wil advice Resting Echo & if normal TMT
just give simple pain killer like nsaids & multiviamine including B5& B12, Can also give some anxiolytic like alprax. problems are noncardiac in origin
Probably neuropathy, inv-BLOOD SUGAR,LIPID PROFILE,POTASSIUM,VIT D T/T- VIT B,CALCIUM,AMITRIPTYLINE, NSAID IF REQD
small u wave seen in antr leads.. otherwise normal ecg only clinical symptoms have no correlation with ecg sir
Sinus rhythm , downsloping t wave in infe leads and tented t wave in lead v2and v3 . Check Sr elec,vitD,Sr cal.
no proper h/of angina. !! !!! avf should be taken in deep inspiration. look for neuropathy. and APD. Or MVP
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