complains of pricking sensation in the left side of chest. known Diabetic



This ECG shows right bundle branch block and left anterior hemiblock , so biphasic block. It's a very common finding in diabetics Does not give any significant evidence of ischemia. Further evaluation may be done to rule out CAD


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V1--4 t wave inversion anterolateral lt lateral infarction , including septum. RBBB


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Sinus rhythm, Low voltage QRS, may be due to obesity, bifascicular HB, IHD

Low voltage LAD LAHB RBBB with secondary repolarization changes T wave inversion in up to v4 which is unusual in v4 advise serial ecg

RSR in v2 v3 v4 T inversion in same leads. Slope elevation of st segment L1 and L2. RBBB AND IHD.

V1-4 t wave inversion anterior wall + septal infarction , lead 3, avf st elevation , Wide qrs complex suggests conduction block .

Complete rbb with lad.exclude ihd with troponins 2d echo for rwma.angio if angina recurrs.exclude true posterior mi brugada syndrome repeat ECG 8 hrly x 3.treat with antianginals dispirin 300 mg later 150 mg his daily.cardiac profile too.

ECG shows sinus rhythm with bifascicular heart block. The present symptom may not be a crdiac one and is probably pleuritic. It may also be due to intercostal neuralgia which is often seen in diabetic patients. If the patient has syncope or presyncope then a permanent pacemaker implantation is required. At present a thorough clinical history, physical examination and a chest x ray are all that is required.

Rbbb with lahb. Do an echo to find out wall motion abnormality. Cag is indicated to rule out/find out coronary artery disease

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