A male with Acute Chest Pain

A male aged 45 years who is a chronic Smoker Chief Complaints Pain Chest (Central) Radiating to Back Palpitations/ Sweating (x 2 hrs) Vitals BP - 126/70 mmHg

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I don't see any cardiomyopathy involved. Reflux Oesophagitis... Pentaprozole 40 mg + Dompetedone 30 mg. 1 cap in the morning on empty stomach & 1 before evening meal.x 7 days. Sucrafet O lia..2 tag twice a day. Seropeptodiastase 4 mg 1 tab bid..x 5vdays.

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ECG is normal It shows sinus tachycardia ? Acid peptic disease as cause of chest pain

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S tachycardia. Chronic smoker Bp is as said tob normal but still on lower side. So go for upper GI endoscopy or X ray Dorso lumber vartebra

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J point depression in v3 and v4 with upright T waves. ST elevation in aVR. De winter sign positive (?) Proximal LAD occlusion? . D/ D ST elevation in aVR with borderline ST depression in. inferior lead ??

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ECG NSR and WNL,do trop i

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WNL

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Sinus techycardia

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Normal ECG. Follow up with serum enzymes & repeat ECG after 6 hours.

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