CAD Post PTCA

68/M CAD - Post PTCA (2015) C/O mild SOB. Right basal crepts+ PR 85bpm Bp 110/80 Echo 2019 Mod AR, Good LV function, EF 65% Comment on ECG Suggest Rx

1 Like

LikeAnswersShare
ECG = LOW VOLTAGE GRAPH RAD LAE OLD ANTERIOR WALL MI 2019 = LVEF 65 % RECOMMANDATIONS 1 ECHOCARDIUM 2 BLOOD PRO BNP TLC DLC CRP ABG 3 CXR 4 JVP? 5 EDEMA FEET? 6 APEX BEAT = SITE? CHARECTER HEAVING? FORCEFUL ? 5 TENDER HEPATOMEGALY ? CHEAT REPORTED RT BASAL CREPTS ON INSPECTION = ANY DIMINISHED RIB MOVEMENT RT SIDE ? Rx Duel ANTIPLATELETS BETABLOCKER ACE I / ARB STATIN FOR SOB = AFTER GETTING ALL REPORTS OF EXAM .
Valuable opinion
0
NSR, low voltage complexes ,prolonged Qtc. ST sag and T inversion in inferior and anteroseptal leads. Clinical picture and ECG does not fit in with 2019 ECHO findings . Suggest repeat ECHO, electrolytes( ? hypokalemia ) ? Heart failure with preserved EF Diuretics, Azmada / Wymada
There is T wave inversion in lead V2 and V3 There is T wave flattening in lead III and aVF along with V3 - V6 In back ground of past H/O PTCA this may suggest Ischaemic changes Adv Repeat serial ECG Send cardiac enzymes Do fresh 2 D ECHO
Valuable opinion
0
ECG -Sinus rhythm, RAD, T wave inversion in lead V2TO v6.low voltage tracing in limb leads and most of the precordial leads.1° av block.
Rt axis deviation Increased pr interval RBBB 1degree av block Old case of ischimia undergone PTCA Some ventricular ectopics seen
Thank you doctor
0
Is the old awmi no fresh changes. Pls indicate ptca in which artery. That is more important
Ecg shows t inversion 111 v2 to v4 Inferior & septal wall ischemia
Valuable opinion
0
T wave inversion in v1 to v5 Check S.Troponin, S.K level
Nsr Prolonged PR LOW Voltage T wave inversion in v2-v6
Thank you doctor
0
ventricular fibrillation