Concluded Case

CARDIOLOGY

PLEASE COMMENT ON ECG GRAPH! AGE 68M ADVISE FURTHER INVESTIGATIONS!

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Concluded answer

Sinus rhythm, LAD, Q wave prominent in Inferior leads suggestive of old Inferior Wall m i, low voltage tracing in limb leads, horizontal St segment with upslope T wave in lead v2to V5. Anteriorolateral Wall ischemia, Needs further investigation Sr ECG, cardiac enzymes, electrolyts, lipid profile, cbc, B's f pp HBA1c, ECHO angiography

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Sinus rhythm, LAD, Q wave prominent in Inferior leads suggestive of old Inferior Wall m i, low voltage tracing in limb leads, horizontal St segment with upslope T wave in lead v2to V5. Anteriorolateral Wall ischemia, Needs further investigation Sr ECG, cardiac enzymes, electrolyts, lipid profile, cbc, B's f pp HBA1c, ECHO angiography

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Low voltage tracing Poor progression of P and R St is not isoelectric in V4V5V6 rather mild sagging and st elevation in L2 and avf ?anterolateral ischimia

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Inferior wall MI. Anterior wall ischemia / Reciprocal changes Troponin, thrombolysis, Angio

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Sinus rhythm. LAD LOW VOLTAGE ST depression V2 TO v5 Inferior + subendocardial mi

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Low voltage LAD LAHB Old IWMI St depression in v2 to v5 Subendocardial ischemia

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ST depression in V3-V6. Anterolateral Ischemia.

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Obviously anterolateral MI Advise 2D Echo

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?antereriolateral MI Trop I 2D Echo

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