cardio case

Kindly give your valuable opinion on this ecg? Young 24 year male presented to OPD with compalints of chest discomfort, feels discomfort whole day when he thinks about it or presses his chest This ecg is taking after his dose of clonazepam 0.25mg

29yo/m presents to the ED with chest discomfort. He describes his pain as dull non radiating behind the sternum. He states his pain began while he was walking around at work and is unrelieved by rest. Pain is non positional. Patient denies any prior cardiac Hx and has never experienced this discomfort before. He presents A/Ox4 with skin P/W/D. Denies N&V or SOB. Lung sounds clear and equal. Vitals all within normal limits. Patients pain is relieved after one sublingual nitro. Initial POC troponin is 0.18. Patient sent to catch lab. Thoughts?

50yrs old male hypertensive ,smoker,executive ,obese ,non diabetic presented with sudden onset vertigo and vomiting with two episodes of pre-syncope and chest discomfort and tingling numbness over left arm and forearm with sweating.ECG shows LVH and borderline ST-T changes.Echo 2D shows good biventricular function LVEF 65%,no RWMA,no clot,concentric LVH.Diagnosis and treatment?

65 year old male came with complaint of 1 episode of seizure which was preceded by aura which included ...nausea. *Chief Complaints* Seizure Chest pain Nausea *History* He was apparently normal till yesterday night.He was resting after dinner.He suddenly developed chest discomfort and lost concuisness and collapsed. His bystander reports an episode of vomiting followed by stiffening if body,tongue bite,vomiting,. He was then taken to nearby hospital, where CT head was taken and found gliotic changes in left occipital lobe. He was given INJ.PHENYTOIN 750 mg .........then referred to a tertiary care centre. Trop I levels were fiund to be 29.9 ng/mL PEARL( +) Muscle power: 3/5 in Left upper limb. 4/5 in remaining limbs. Muscle Tone: Normal Reflexes: Knee jerk (+),Plantar is bilaterally flexor. Today early morning the patient developed Ventricular tachycardia (HR=186/minute,BP=90/60mmHg, SpO2= 93%).…....Patient was sedated with MIDAZOLAM and DC shock was given along with IV fluids..,....HR stabilised to 66/minute,BP lowered to 120/60 mmHg and SpO2 becomes 100% with O2 5L/minute. 30 minutes later he developed Ventricular tachyarrhythmia,.......ongoing FOSPHEN was then withdrawn. Patient is currently stable. HR= 55 bpm RR= 20/minute SpO2=100% with O2 5L/minute. He gives history of similar episodes 22 years ago....total 3 similar episodes with an interval of 3 years in between.He was hospitalised during each episode and he was discharged each time after he had improved clinically and symptomatically He is a smoker for the past 47 years. He had a surgery for Inguinal hernia 38 years ago He also reports a surgucal history of excision of a swelling over the skin of mandible 38 years ago. O/E: Inspiratory wheeze heared over both lung fields. Kindly evaluate the Attached X ray and ECG and give your valuable opinion about the case. *Investigations* Chest X ray ECG *Diagnosis* GTCS,,

30 year old lady with recurrent headaches, more in the evening. headache more on left side for last 4 months. no sinus tenderness. CT normal. what could be the other causes and how to manage