A young female with Atypical Chest Pain

A young female with no comorbidity Chief Complaints Pain Chest (substernal) Non radiating No sweating /giddiness since 15 days Physical Examination Essentially normal Investigations ECG

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ECG Sinus tachycardia, q wave prominent in lead 3 non significant, otherwise normal tracing except low voltage tracing.horizontal st segment in v4,5,6.

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Ecg reveals sinus tachycardia hr 100/mt. No.other significant findings. Looks like anxiety related

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Low voltage in chest leads S.Tachy Check for thyroid function, Anemia, RBS, Anxiety

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Poor R wave progression,NSR,LAD

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Sinus tachycardia Prolonged QT interval

If patient has come to ER...need to investigate for CAD...Pulm. embolism if some history. Echocardiography will help.
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