An old lady with Severe Chest Pain

A female aged 66 years Chief Complaints Sudden onset Pain Chest (Radiating to back) Palpitations(+) Vitals BP- 156/90 mmHg PR - 74/min

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Ecg-Twave inversion in limb leads 2 ,3,avf and v2 to v6. Advise-1-TropT. 2-2D echo. 3-CABG.4-serum lipid profile. Dx-Hypertension with CAD(inferioro-anterior ischaemia). Tt as per reports start antianginal antiplattelate drugs and antianxiety also.

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St depression with T inversion in most of the limb leads n chest leads...(global ischemia?) Strain pattern? Adv cardiac enzymes/2d echo

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Could be Cardiac Neurosis !?

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Anterioinferior ischemia. Check S.Troponin level to ruled out NSTEMI

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T wave inversion in V4-V6 Adv trop i, give loading dose of anti ischemic Adv 2 D echo

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