A diabetic female with Atypical Chest Pain

A middle aged Diabetic female with Atypical chest pain, central in location and non radiating since 2 days Vitals BP- 100/60 mmHg PR- 142/min Investigations ECG

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Sinus tachycardia. T inversion in all limb leads & v4 to v6 T upright in avr. VPBs.its ACS. Sub endocardial wall infarction. Pl go for ntg infusion double antiplatelet agents LMWH statins betablockers Pl get her cardiac enzymes 2d echo Pl plan for coronary intervention. If not possible pl thrombolyse her

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V1 v2 placed high on chest Single PVC MAT (last three beat in rhythm strip prove it) Low voltage Inferiolateral ischemia

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AF with FVR VPCs Significant ST depression in lateral chest leads ,antero lateral wall ischemia,? Rate related

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PAC SINUS TACHYCARDIA ST SAGGING IN L1L2 AVL AND V4V5V6 FLATTENED P V4V5V6 VPC INFEROLATERAL ISCHIMIA

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AF go for Troponin T test with lipid profile with cpk MB

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In lead 2 their is no p waves looks like af

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