Concluded Case

sinus brdady with Tall T

25yrs.Male Married,Farmer. c/o Lt.sided chest pain,lt upper arm pain Nausea since 2days no c/o breathlesness,no sweating,no headache,no neck pain. o/e gc mod afeb PR 45-50bpm Bp 156/90mmhg rs clear cvs s1s2 + pa soft nt. cbc,rft wnl. advised:usg abdo,sr.electrolyte,TFT.2Decho. please comment on ecg,further line of investigation and management.

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Concluded answer

@Dr. Aditya Salgarkar Tall T wave in V2, V3, V4 Early repolarisation Suggests Serum electrolytes monitoring nd management Serial ECG monitoring BP control

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NSR Early repolarization in lat leads with tall T waves. Findings sugg of hyperkalemia. Adv serial ECGs in view of impending infarction.

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Sinus bradycardia Tall To wave in V2, V3 suggests hyperkalaemia

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Sinus bradycardia,tall peaked t wave in precordial leads v2,v3, looks like early repolarize . Needed Sr ECG ,Sr electrolytes, Tft. 2D Echo.

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Hyperacute T wave with LVH with bradycardia....start temiduce 40mg od and 2d echo , s.lipid profile ,FBS ,... NSAIDS bd for 3days for chest pain ...

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@Dr. Aditya Salgarkar Tall T wave in V2, V3, V4 Early repolarisation Suggests Serum electrolytes monitoring nd management Serial ECG monitoring BP control

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Bradycardia

Thank you doctor
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SUGGESTIVE OF SINUS BRADYCARDIA And HYPERKALEMIA

Sinus bradycardia and Hyperkalemia

Sinus bradycardia Right Axis Deviation Tall peaked T waves, ? Hyperkalemia ECHO, ELECTROLYTES, Thyroid profile, RFT

ECG = SINUS BRADYCARDIA = SSS ? EARLY REPOLARISATION OR INJURY PATTERN HTN = IS HE ON BETABLOCKER? RX TELMISARTAN ( POTASSIVE CONSERVATIVE ) SERIAL ECG BLOOD TROP I , K +

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