A hypothyroid female with Irregularly irregular rythm

A female aged 38 years who is a k/c/o Hypothyroidism (on 75ug Thyroxine) Chief Complaints Palpitations Ghabrahat Dizziness since 1 day Vitals BP- 100/60mmHg PR- 116/min(irregular)

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ECG showing AF with fast VR. See for overcorrection of thyroid causing hyperthyroidism. 2d Echo CD Sr electrolytes Corderone/ betablokers. If mitral valve disease, consider anticoagulation therapy.

Suggestive of Atrial fibrillation

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Atrial fibrillation

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Ecg reveals AF.pl get her thyroid hormones done .if the dose of thyroid hormone is more than required amount pt goes into hypothyroidism .then he develops tachycardia & arrhythmias. At present until u get the reports pl put her on tab propranolol 10 mg 8hrly and hold thyroid hormone

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Start treatment as adjuvnt therapy with eltroxin. Treat the disease as kaphaj soth or pandu medicine like kanchnar guggulu, punarnava mandur, punaravadi kwath, arogyavardhini, shigrupatra kwath,varunadi kwath, trikatu churna.

Thnkyou doctor
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Yes irregularly irregular rythm ATRIAL FIBRILLATION Raised st segment v2 V4V5V6 shows paroxymal svt

Tachycardia,A Fib, looks like, Electral alternance, Needs sr electrolyts, TFT,sr Cal mg, ECHO

Agree with @Sandeep Ghodekar sir

Betablocker Anticoagulant Find out cause

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Atrial flutter with varying AV block

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