Spot diagnosis and treatment please

Chest pain, coughing and sleeplessness, anorexia since 3-4 months. 69y, male,

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NSR , Right axis deviation Poor progression of R in V1 to V3 . With history of chronic cough, consider PAH, cor Pulmonale . ? Old ASMI Consider Post MI heart failure Suggest cardiac evaluation, ECHO , HRCT

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NSR sinus tachycardia Symptoms are suggesting of copd or pulmonary disease

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It's a normal ECG

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WNL

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Ecg doesn't reveal any significant findings. Looks like anxiety related & viral fever types

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Malpositioned v6 Old Anterioseptal mi Go for x-ray Most likely Koch

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Normal

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