Acute Anterioseptal Myocardial ischemia

53/M c/o Severe chest pain (squeezing in nature) radiating to left arm and upper back a/w profuse sweating since 1 hr. k/c/o T2DM x 3 yrs on RX k/c/o smoker - 20 beedi / day x 25 yrs ECG taken Diagnosis and treatment??

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Extensive Anteriolateral mi

ECG:ST Elevation in anterior lateral leads Reciprocal ST depression in inferior leads Sinus bradycardia Hyper acute T R/o anterolateralWMI Adv cardiac markers/2d echo/serum electrolytes/serial ECG s

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Acute Antroseptal MI

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Hyperacute T waves in V2 to V5.reciprocal changes in inferior wall leads.evolving anterior wall MI.

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Hyper acute T in V3,4 . Inverted T in inferior leads Evolving ANTEROSEPTAL MI Observation, serial ECGS, troponin, thrombolysis , angio

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There are st-t changes Sagging in L2L3 avf and acute repolarisation with st elevation in v2v3v4 Yes it is Acute anteroseptal myocardial ischimia Adv hospitalization manage with nitroglycerin drip Thrombolisation Monitor with cardiac enzymes Confirm trop i 2decho Adv angiography and sos angioplasty

Thanx dr Jitendra Patidar
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STEMI- anterolateral with reciprocal change

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STEMI

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Acute extensive Anterolateral wall m I, second degree type 2 H B

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Stemi with severe bradycardia admit 2decho angiography angioplasty or bypass as per report

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