Read the ECG

62-year-old female with hypertension and type 2 diabetes well controlled comes to the office for a regular visit, She brings this ECG. Patient is asymptomatic. DIII and AVF show QS wave (or RS wave?) and negative T's. What do you see?

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NSR LAD QS in 3, aVF T inversion in V1-V6 S bradycardia S/O IHD

Thank you Dr. Vipin Jain sir & Dr Kulmit Gill sir
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Lead I, lead aVL and leads V5, V6 represent lateral wall All these lead show T wave inversion Lead V2 - V4 represent anterior wall These leads also show T wave inversion All these finding put together may represent anterolateral wall ischaemia Adv 2 D ECHO Stress test

Significant comorbidity DM hypertension lead3 q wave left axis deviation t wave inverted bradycardia avl v1 tov6 do 2 decho tropi & t

NSR sinus bradycardia pulse 50bpm T inversion in L1 avl v2v3v4v5v6 D3Q avf Rt axis deviation RBBB ? Pwp syndrome

Thanx dr Ashok Leel
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SUGGESTIVE OF SINUS TACHY LAD NEEDS FURTHER EVALUATION

* Pwp syndrome Rbbb

Thanks Dr Vipin Bihari Jain
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Ecg reveals t inversion 1 avl.v2 to.v5 Sinus bradycardia hr 50/mt.pl check for hypothyroidism. Trans ant wall ischemia. In diabetics u can have silent ischemia. She should undergo thorough cardiac evaluation. 2d echo/ TMT. Coronary angiography depending on these reports

NSR with sinus bradycardia LAD Low voltage complexes Universal T inversion in all leads ? Old IWMI DD Hypothyroidism, hypokalemia, pericardial effusion , betablocker effect. Suggest Cardiac evaluation including ECHO Electrolytes, Thyroid profile

Ecg-low voltage sinus bradycardia NS and normal axis. qs pattern 3rd and avf non specific changes q wave non pathological. Twave mild depression in chest leads is strain pattren due to hypertesion. Advise-serum thyroid profile. CABG.

Sinus bradycardia, LAD, T wave inversion in lead1, AVL ,V1 to V6 . LAFB, needed further investigation ECHO,angiography, USG whole abd, CXR PA view, CBC TFT lipid profile, Bs-f pp, HBA1c, LFT, TFT, electrolyts, cal, mg

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