A 55 year old male come due to e month of dyspnoea without thoracic pain & jugular venous pressure increased. The auscultation reveals crackles in both pulmonary bases and 3rf tone in the apex. Chest x ray shows cardiomegaly with ventricular growth. ECG attached. Give views.

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Old anteroseptal infarction(may be quite old) Persistence of st elevation for very long periods may indicate ventricular aneurysm. Features suggest CCF(biventricular)

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Old anteroseptal infraction?? Ventricular aneurysm CCF

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Ventricular aneurysm

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Old antero septal wall mi

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Old Anterioseptal mi/ L.V.Anerysum Now need Echo to ruled out P.Odema

Ventricular Aneurysm.

1 ECG §TEMI SEPTAL WALL 2 VENTRICULAR ANEURISM 3 H F

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Old ASMI, Ventricular aneurysm,CCF

Old ASMI,Low voltage peripheral, LV aneurysm, apparently no iso electric line between p and q.Suggested for ECG at 50cm/sec

ECG s/O old anterosepatal mi with St elevation ventricular aneurysm with left axis deviation.. JVP raised by b/l basal criptation Biventricular failure

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