An obese male with Heart Failure

A male aged 43 years whose BMI is 38kg/m2 Chief Complaints Dyspnea at rest Respiratory distress (x 2 days) Physical Examination Resp - B/L basal fine crepitations

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Low voltage in chest leads S.Tachy Subtle Inferiolateral ischemia Go for Enzymes, Echo

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Vitals? Family history Drug history Smoking/alcohol ?

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