Concluded Case

Stopping beta blockers can cause this ?

45, F, K/c/o hypertension on Nebivolol 5mg, Telmisartan 40 mg OD. Developed loose stools with some dehydration and BP 90/60 with pulse 60/m , hence both antihypertensives stopped. Later only Telmisartan started and discharged. ECG after 2 weeks. Old ecg was wnl. What is the diagnosis ?@Dr. Shivraj Agarwal @Dr. Sandeep Ghodekar @Dr. Prashant Ved

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Tracings do shows st depression It only suggest lt ventricular strain or LV diastolic dysfunction Likely old c/o inferior wall ischimia

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Lead II III and aVF shows T wave inversion Lead V3 - V6 shows ST segment depression and T wave inversion Impression Inferolateral wall Ischaemia Adv 2 D ECHO Cardiac enzymes angiography SOS angioplasty

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ST depression with diastolic dysfunction, LVH, LAFHB/ Inferiolateral wall MI Do Lipid Profile /Serum Electrolyte / CKMB / CARDIO TROPI -II, USG W/A

Thanx @Dr. Sarfaraz Pathan Ji
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S.Tachy St depression with Downup T wave Hypokalemia & / Hypomegnesemia

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Tracings do shows st depression It only suggest lt ventricular strain or LV diastolic dysfunction Likely old c/o inferior wall ischimia

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SINUS TACHYCARDIA WITH ANTERIOR WALL MYOCARDIAL ISCHEMIA

St depression, old ischemic changes seen, get 2D echo

S-T depression,t wave inversion inferior wall Ischemia

Thanx @Dr. Dinesh Gupta sir Ji

Sinus tachycardia with normal axis ST/T changes because of sinus tachycardia

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Inferolateral wall ischemia

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