Concluded Case

Complaints of DOE and retrosternal chest pain

60 yr old male pt presented with complaints of DOE and retrosternal chest pain since last 3 days BP is 140/90 mmhg . Diagnosis and treatment plz.

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Concluded answer

ST Elevated in Cheast lead . Loss of RWP..and also ST Elevated in | , AVL. T INVERSTION IN all same lead with Wellans phenomena are seen. Extensive Antero -Lat. MI. possibility blokes in proximal part of LAD. Do 2D.ECHO AND Tropnine.. Subject for Diagnostic CAG and PTCA.

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ST Elevated in Cheast lead . Loss of RWP..and also ST Elevated in | , AVL. T INVERSTION IN all same lead with Wellans phenomena are seen. Extensive Antero -Lat. MI. possibility blokes in proximal part of LAD. Do 2D.ECHO AND Tropnine.. Subject for Diagnostic CAG and PTCA.

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Acute anterior wall myocardial infarction with persistent ST elevation in anterior chest leads. Further investigation and workup required for definitive treatment. Trop T, ECHO, coronary angiography etc

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EXTENSIVE ANTERIOR WALL MYOCARDIAL INFARCTION

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Recent ant wall myocardial infarction.Thrombolysis is not indicated.advice cag and treat accordingly.mean while morphine for pain and s.c low molecular wt heparin can be started .

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STEMI ANTERIOR WALL & INFERIOR WALL

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Extensive Acute Awmi

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Old anteroseptal wall mi

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STEMI ANTERIOR WALL & INFERIOR WALL LAE RX PCI WITHIN 1/2 HRS

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Low voltage Late presentation of AWMI

Extensive AWMI of some duration.prominent P waves.

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