Chest Heaviness

A male aged 56 years who is a known hypertensive on management Chief Complaints Cheat heaviness Palpitations Sweating (x 2 days) Physical Examination CVS - S1S2 (+), No murmur Investigations ECG

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Sinus bradycardia ,rate < 50 , tall and arrow head t from V2 to V6 .This is secondary sign of Ishaemia. Does pt taking Beta blocker then taper it. Investigations for CAD , Meanwhile Aespirin and Nitrates may be added.

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Subacute elevation of st segment in V2toV4 with sinus bradycardia D/d hyperkalemia 2 Stemi

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Monisons pain'balm to inhale.. eyculyptus oil to inhale...mmudra helps.. watermelon pomegranat e muskmelon walnuts Blue berries cashew peanuts...raw tomatoes..jeera til fudina currypatta lemongrass turmeric powder needs counselling calmness symphony music lime juice...orange sweet lime in morning...under strict supervision of Doctor

S.Bradycardia

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IT'S A CASE OF STEMI ELEVATION OF ST SEGMENT IN LEADS V2,,V3 AND V4. DO,,,. SERUM ELECTROLYTE CARDIAC ENZYMES 2D-ECHO

Recent onset MI. Bp? Na+.k+? Adv-cpkmb,2decho.lipid profile. Rx-blood thinner loading dose.f/b regular low dosage.antiplatelet .sorbitrate.and low dose beta blocker.

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Bradycardia

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