....looks like Atrial Tachycardia, with slow R wave formation ,as in Ant.MI or LVH & ST -T changes as in LVH,Digitalis & Ischemia....tnx....also pl refer to Curious case of sickle cell post....
This is an interesting ECG. He has sinus tachycardia~100/minute, in keeping with the given history of heart failure. Deep Q-waves in all precordial leads and leads I & aVL are consistent with previous global anterior wall MI-probably occlusion of LAD. Persistent ST-elevation in V1-V6 over the last 6 months suggests that he has developed dyskinesis in the LV antero-lateral wall- otherwise referred to as a LV aneurysm. This is contributing to his heart failure. Finally, inverted P waves in V1 indicate left atrial enlargement, probably due to LVH from hypertension, confirmed on using Sokolow Lyon voltage criteria for LVH.
....Tnx....also, a Hyperhidrosis case with excessive facial & palm sweating....promised him of ur expert opinion & a decent course of action for me....
I don't know if these preparations are available in the Maldives, but 20% Aluminium Chloride or 6.25% Aluminium tetrachloride applied at night and washed off in the morning will work for palmar or axillary hyperhidrosis but not suitable for face. Can cause some axillary irritation, hence best washed off in the morning after overnight application.
....looks like Atrial Tachycardia, with slow R wave formation ,as in Ant.MI or LVH & ST -T changes as in LVH,Digitalis & Ischemia....tnx....also pl refer to Curious case of sickle cell post....
ReplyDeleteThank you.
ReplyDeleteThis is an interesting ECG. He has sinus tachycardia~100/minute, in keeping with the given history of heart failure. Deep Q-waves in all precordial leads and leads I & aVL are consistent with previous global anterior wall MI-probably occlusion of LAD. Persistent ST-elevation in V1-V6 over the last 6 months suggests that he has developed dyskinesis in the LV antero-lateral wall- otherwise referred to as a LV aneurysm. This is contributing to his heart failure. Finally, inverted P waves in V1 indicate left atrial enlargement, probably due to LVH from hypertension, confirmed on using Sokolow Lyon voltage criteria for LVH.
....Tnx....also, a Hyperhidrosis case with excessive facial & palm sweating....promised him of ur expert opinion & a decent course of action for me....
ReplyDeleteI don't know if these preparations are available in the Maldives, but 20% Aluminium Chloride or 6.25% Aluminium tetrachloride applied at night and washed off in the morning will work for palmar or axillary hyperhidrosis but not suitable for face. Can cause some axillary irritation, hence best washed off in the morning after overnight application.
ReplyDelete.....Nope...not here...Tnx for the update...!!
ReplyDelete