a 50 year male.patient c/o chest pain bp 140/90

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NSR left axis deviation Tall P. LA enlargement. ST elevation in v1 and avr. ? LVH. Adv cardiac enzymes, echo and CAG.
Apparently normal ecg. Further cardiac evaluation is advisable.
Ecg is recorded at 20mm/mv P.Pulmonale Otherwise normal
P pulmonel ,s.bradycarfis
P pulmonale Lad Lvh

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