Cough & dyspnoea with h/o COVID-19

Chief Complaint A 43 y/o male presented with cough, dyspnoea, and fatigue. History He has h/o COVID-19 2 months back. Now test is negative for Covid-19. He is an end-stage renal disease patient and is on hemodialysis. Vitals Blood Pressure - 85/50 mmhg, Breaths - 19 breaths/min, Heart rate - 86 bpm, Temp - 101.3 degree f, oxygen saturation of 96% on room air. On admission, his physical exam was notable for a II/VI systolic ejection murmur, not previously documented. Investigations Chest x-ray shows pulmonary vascular congestion and opacity in middle mediastinal. ECG shows sinus rhythm & 1st degree AV block. Treatment What next should be done in this case.




Symptoms Sinus tachycardia occurs when the heart rate is above 100 bpm. In addition to a fast heart rate, people with sinus tachycardia may experience the following symptoms: abnormally strong or forceful heartbeats irregular heartbeats difficulty breathing dizziness fainting chest pain anxiety change in blood pressure

Sinus tachycardia refers to an increased heart rate that exceeds 100 beats per minute (bpm). The sinus node, or sinoatrial node, is a bundle of specialized electrical cells in the right upper chamber of the heart. These cells act as the natural pacemaker of the heart by sending electrical impulses to the surrounding tissue. These impulses cause the heart to contract. A properly functioning sinus node regulates the rhythm and speed of a person’s heart. A normal heart rate should usually be 60–80 bpm at rest, but it can sometimes range between 60 and 100 bpm. In people with a heart rate that exceeds 100 bpm, the sinus node is sending electrical signals at a faster-than-normal rate

Treatments for sinus tachycardia may include: reducing caffeine intake quitting smoking and avoiding other sources of nicotine exercising regularly drinking enough water consuming less than 2,300 milligrams of sodium per day Sinus tachycardia is usually a benign condition, but if it is persistent, zerodrol p tab,ab flow tab taxim o 200 CV tab,adrenal steroid injection

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