A 60 year old male came for dizziness. Diagnose the ECG attached.

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Mild ST depression in |, avL Generalised low voltage complexes D/d Increased chest wall thickness Obesity Pleural effusion Pneumothorax Hypothyroidism

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Low voltage GRAPH SINUS tachycardia

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Short QRS complexes with sinus rhythm ...Cardiac pericardial effusion or Hypothyroidism / DCM.

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Sinus tachycardia, regular, 125 bpm, low voltage QRS Complex, RWP-good, ST depression in L1, aVL and V2, V3, V4. 2D- Echocardiography,CT Scan chest, CT Scan brain, X-Ray chest pa, serum electrolytes, TFT, lipid profile, LFT, RFT, CBC, RBS. Anterolateral wall ischaemia.

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Standardization not seen Better to take a long lead to clear confusion of 2 A/V block. Bcs in 2nd degree Mobitz 1 and 2 both are irregular rhythm so it's can't be

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Calibration marker is not included, difficult to say low voltage graph. Sinus Tachycardia.

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2°av block??

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Type 2 block Needs further investigations and evaluation required to establish diagnosis and treatment.

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Global low voltage QRS with sinus Tachycardia. R/O Pericardial or Pleural Effusion, Cardiomyopathy, COPD or Emphysema, Hypothyroidism. Advice : CXR, Blood for TSH.

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Type 2 block

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