CHB+ IWMI...

57 yrs old female,c/0 giddiness,nausea & vomiting*2 days.restlessness+k/c/0 T2DM on OHA. GRBS-475 o/e Afebrile PR:26/' BP:150/60 mmhg chest:b/l clear s1,S2+

(Edited)

3 Likes

LikeAnswersShare
Each p wave is not proceeded by a qrs complex.. Complete AV block with reduced ventricular rate... ST elevation in inferior leads IWMI with ST segment depression in lead l, aVL, V5, av6 .. Uncontrolled sugars Dx : complete heart block, inferior wall MI,? DKA .. Patient needs ICU admission, pacemaker implant, ABG, CAG, PCI, expert opinion cardiology ,other system workup..
Thank you doctor
1
This is a case of 3rd degree/ complete AV dissociation. Look for urine ketone. Give immediately Iv atropine and refer to cardiology. 10 unit of insulin actrapid s/c stat. Ask patient to deep breath.
Thank you doctor
0
NSR Sinus bradycardia RBBB3:1 St depression L3 avl and v5v6 Raised in counter leads Uncontrolled diabetic And hypertensive Suggestive of Awmi
Thank you doctor
0

View 2 other replies