A 59 year old Pt. came on ED c/o SOB+ DURING SLEEP & UP STAIRS LADDER,

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Sinus rhythm. PR interval is prolonged - more than 0.2 secs,- Indicative of first degree heart block . A flat T - wave invariably in all leads - Hypokalemia needs to be ruled out . An echocardiography for further evaluation is needed and also get s.electrolytes done

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ECG is normal There is sought change in RR internal at free places, but PR interval is always constant This is indicative of sinus arrythmia which is normal physiological variation

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Sinus rhythm with low voltage ecg T wave flattened in all lead So see electrolyte to rule out hypokalemia And see for 2decho

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NSR, 1 st degree heart block Subtle ST depression in V4,5,6 Anterolateral wall ischemia

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Sinus rhythm, first degree av block, T wave flattening in most of the leads

Needs electrolyts, TFT, Cal mg
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@Dr. Rajendra Rai Normal ecg Sinus bradycardia

Prolonged pr interval Sinus bradycardia RT AXIS DEVIATION RBBB

Thanx dr Sachin S Kabbin
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1° AV block Needs other investigations

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Sinus tachycardia

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At present WNL

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