Severe chest pain after alcohol abuse

A 39 y/o male came with severe chest pain and breathlessness. He was drinking with his friends at a party, after having 300 ml of alcohol he started complaining of chest heaviness & fast breathing. When symptoms did not resolve for 2 minutes he was taken to the hospital. He denied intake of any other substance. BP: 130/80 mmhg, HR: 210 bpm, Resp rate: 18 breath/min, O2 saturating at 88% at room air. ECG shows right ventricular tachycardia with left bundle branch pattern and inferior axis pattern. TSH was 1.0 IU/ml. S magnesium was 1.5 mg/dL, Potassium was 4.2 mmol/L at the time of admission. What is your opinion on the case?

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Do high HR pt must b hospitalised ad may turn into serious condition Alcohol may cause arrhythmia Enzymes Echo

Intake of alcohol can induce arrhythmias. Treatment according to the type of arrhythmia.

Admit in CCU, Cardiac Profile,ECG,2DECHO,Sr ELECTROLYTE,Sr Creatine.

Enzymes and Follow up ECG.

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