Abnormal ECG
Undiagnosed retrosternal discomfort Chief Complaints Retro sternal discomfort Nausea - 5 days duration History Since last 5 days - patient is having SOB Retrosternal discomfort, Nausea- no chest pain Patient is a known hypertensive on Metoprolol 50 mg O.D Vitals Pulse 80 / minute B.P - 140 / 80 mm of Hg R.R - 20 / minute Temp.36.7 °C Physical Examination Nothing significant Investigations ECG Diagnosis Comments on ECG welcomed
Incomplete RBBB with inferior wall mi 2d echo Cardiac markers Loading dose Cardiac opinion
Incomplete right bundle branch block - lead V1 shows rSr' pattern, QRS complex is only 2 mm duration therefore it is incomplete RBBB LEAD V2 to V6 shows significant ST segment depression with T wave inversion suggestive of ischaemia It need to be treated as anterolateral wall ischaemia
Flattened T L2and inverted T in all chest leads Rsr v1 Incomplete RBBB with inferior wall ischimia
RBBB Ant wall ischemia Check S.Troponin level to ruled out NSTEMI
Ischemia. Block
Incomplete RBBB with inferior wall mi 2d echo Cardiac markers Loading dose Cardiac opinion
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