Concluded Case

Preexitation syndrome with serum electrolyte imbance.

A male 65yrs old have off and on giddiness and bacakache and paraaesthesia in rt middle and index and little fingers.ecg is enclosed.Bp and blood sugar are normal.kindly interprete ecg.

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Concluded answer

Ecg reveals sinus bradycardia hr 50/mt .no conduction block.spiked t waves in v2 to v4.how are his electrolytes. Is he on any betablockers. Pl get his 2d echo.was EP EP study done in the past if not done so also 24hr holter motoring. Pl push 0.6 to 1.2 mg of atropine and see whether the heart rate increases. If there is any electrolyte disturbance pl correct it specially potassium imbalance.

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Ecg reveals sinus bradycardia hr 50/mt .no conduction block.spiked t waves in v2 to v4.how are his electrolytes. Is he on any betablockers. Pl get his 2d echo.was EP EP study done in the past if not done so also 24hr holter motoring. Pl push 0.6 to 1.2 mg of atropine and see whether the heart rate increases. If there is any electrolyte disturbance pl correct it specially potassium imbalance.

More than one atrial wave for ventricular complex PR interval changes Third degree AV block or CHB Electrical axis shows conduction disturbances

Complete heart block Heart rate heardly measurable AV dissociation

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NO PREEXCITATION HERE S.Bradycardia 1'av block P.Mitrale Early repolarization changes

Patient has sick sinus syndrome Immediate TPM

Hyperkaelemia Av block bradycardia50 Rbbb

Hyperkalemia Av Block

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