Concluded Case

Abnormal ECG?

A 53 years old female - a known case of hypertension on regular treatment on Telmikind Trio - telmisartan 40 mg + cilnidepine 10 mg + chlorthalodone 6.25 mg . Since last 1 week she is complaining of anxiety decreased sleep , palpitations and B.P - 150 - 160 /90 - 100 mm of Hg . ECG was advised . Comments on ECG welcomed

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Concluded answer
Sinus rhythm , LAD, LAFB, T wave inversion in lead 2,3,avf, V1 to v3 ,st segment horizontal in v4 to v6 with flattening of the T wave. Poor r progression and persistent s wave in v6. It seems that the T wave inversion in lead V1 to v3 nonspecific because no St segment deviation and t wave inversion is less than 3 mm . But if the pt is diabetic and hypertensive can adv cardiac enzymes, Lipid profile electrolyts BSR USG whole abd,sr amylase,kft TFT, mg
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Ecg reveals t inversion v1 v3.& avl. Antero septal wall ischemia. Is she a hypothyroid pt Pl. Get her cardiac enzymes 2d echo. She needs betablockers. Ecosprin.statins.anxiolytics.after the result of the investigations further line of management can be revised
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NSR left axis deviation. Otherwise normal study. May consider low dose betablokers like carvedilol, and anxiolytics.
Thank you doctor
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LAD NSR T inversions V1-V4 Poor ‘R’ wave progression. Adv Add Beta blocker Statins after lipids Anxiolytics
ECG shows Nsr Low voltage LAD LAHB Poor RWP in chest leads T inversion ant.chest leads....
Lad anterolateral leads t wave inversion myocardial ischemia do 2 d echo
LAD , statins, antiplatelets,anxiolytic ,
Sinus rhythm , LAD, LAFB, T wave inversion in lead 2,3,avf, V1 to v3 ,st segment horizontal in v4 to v6 with flattening of the T wave. Poor r progression and persistent s wave in v6. It seems that the T wave inversion in lead V1 to v3 nonspecific because no St segment deviation and t wave inversion is less than 3 mm . But if the pt is diabetic and hypertensive can adv cardiac enzymes, Lipid profile electrolyts BSR USG whole abd,sr amylase,kft TFT, mg
Left axis deviation Otherwise normal ECG First confirm she took medicine regularly And advise routein examination Thyoid profile ,renal doppler Add Cap fludac 20 BD Tab clonafit plus HS Continue anti hypertensive...
LAD LAHB Downup T wave in v1 to v4 Check S.K level D D Hypokalemia Persistent juvenile pattern
Please consider the Post menopausal syndrome for the symptoms from last 1 week.
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