Concluded Case

coronary heart disease.

Read the ECG and comment. Patient is postmenopausal ,obese,non diabetic normotensive, c/o breathless on exertion ,and retro sternal pain and paroxysmal nocturnal dyspnea, are the problems of this patient .sometime patient gets wheeze and cough. Opine

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Concluded answer

Predominantly patient is having antero lateral wall ischemia.. Start 1.Nitrates 2.Antiplatelets 3.Lipid lowering agent -Rosuvastatin or Atorvastatine in higher doses Adv. CBC,RFt,lipid profile ,TFt and cardiac enzymes with 2D echo and TMT

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Predominantly patient is having antero lateral wall ischemia.. Start 1.Nitrates 2.Antiplatelets 3.Lipid lowering agent -Rosuvastatin or Atorvastatine in higher doses Adv. CBC,RFt,lipid profile ,TFt and cardiac enzymes with 2D echo and TMT

LAD LAHB Anteriolateral ischemia Go for Enzymes, Echo

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