one hour chest pain with ghabrahat vital stable please coment on ecg

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Sinus rhythm, regular, 84 bpm, Axis - normal, RWP good, ST depression in L1, aVL, V5 V6, ST depression with T inversion in lead L2, aVF, LVF, ischaemia in inferolateral wall. Do Trop-T and 2D Echocardiography etc

Inferolateral ischaemia (angina pectoris ),go for troponins tests if positive unstable angina and treat as ACS. If negative treat as angina pectoris, control BP ,control diabetes if present and lifestyle modifications.

Lvh with strain Widespread St depression with St elevation in aVr, v1 Lf main /TVD /Diffuse subendocardial ischemia

St depression and t wave inversion in 1,2,v4,v5 looks inferolateral coronary ischaemia ,treat as nstemi and acs according to aha protocol ,cag ptca will definitely require

Sinus rhythm, LVH with strain,ischaemia inferolateral.Need tropt, Echo,

LW ischemia

Infero lateral wall ischemia

Lvh strain ischemia cannot be ruled out

Lvh strain pattern look for ischemia

LAD LVH WITH STRAIN PATTERN MOST PROBABLY HYPERTENSIVE HEART DISEASE AND CONCENTRIC LVH

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