A female aged 45 years who is a k/c/o Hypothyroidism on treatment with Morbid obesity p/w complaints of Burning in Chest since last night....She also complains of Pain in Right arm....comment on her ECG and discuss the findings

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Acute ST elevation of V1 V2 I ,AVL suggest acute MI With reciprocal changes in inferior leads.... Advise: Trop I Angiography

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Leads V1, V2, V3, Lead I and aVL shows ST segment elevation and tall peaked T waves Lead II, III and aVF shows reciprocal and significant ST segment depression and T wave inversion These finding are suggestive of anterior wall MI

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Ecg shows ST elevation in 1st and avl lead and qs pattern in v1 tov3 chest leads and reciprocal changes in 2,3and avf suggestig acute evolving STelevation extensive anterior MI.huperlipedimia due to hypothyroidism may be the cause.

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ACUTE ANTERIOR WALL MYOCARDIAL INFARCTION WITH RECIPROCAL CHANGES IN INFERIOR LEADS

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Anterio septal mi

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ST elevation in ant chest lead... suggestive CAD acs stemi... thrombolysis or reperfusion therapy .on urgent basis.....

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Acute STEMI in Anterior wall ,with reciprocal changes in Inferior wall

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Hyper acute Antero-Septal MI. Reciprocal changes in inferior leads. Needs to go for 2DECHO and urgent Angiography

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Extensive Anterolateral wall

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