A 43 year old male came with chest pain of 1 hour. On reaching ED he was asymptomatic. ECG done. Interpret.
Keep under observation for 48 to 72 hrs and take series of ecg and cardiac enzymes and trop i present ecg shows sinus rhythm with st-t changes in avl v2v3v4v5and v6are suggestive of anterolateral ischimia
Small voltage , and ST .Anteroseptal ischemia .. pericardial effusion/ cardiomyopathy .correlate with CXR
Stable angina suggested by t wave inversion in chest leads
Anteroseptal infarction, lateral wall and inf wall ischemia , 1 hour back chest pain now disappeared, repeat after 1 hour , send Cardiac enzymes to confirm findings.
AF
T wave inversion in V1-V5 R/O Acute Coronary Syndrome
Multiple p waves with different morphology St t changes in anterior leads ?.?.
After some exersion he got anginal pain it stabilized after taking rest
Anterior wall ischemia .
WLLEN'S TYPE 2 syndrome
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