ECG FOR DISCUSSION (Monomorhic VT.).pptx

Interesting case of VT

1. Ecg of the week Hod and UNIT chief : dr.v.p .K annan md. , ASSISTANT PROFESSORS : dr .S. jeevanand Ha m md. , Dr .M. nallathambi md. ,

2. Case history A 55 years old female K/c/ o CAD, old AWMI, S/P PTCA to LAD c/o palpitation c/o chest discomfort c/o giddiness c/o vomitting No h/o breathlessness No h/o syncopal attack No h/o abdominal pain, loose stools, fever

3. Past h/o k/c/o CAD, old AWMI, S/P PTCA to LAD, severe LVSD Past 2 yrs on regular treatment VITALS: BP NR PR NR SPO2 NR HR ~ 210 /min

4. O/E Pt conscious Oriented Afebrile No pallor No icterus and pedal edema S/E CVS s1s2 +, no murmur RS vbs +,no added sounds PA soft ,bs+ CNS NFND

5. INVESTIGATIONS CBC WBC 14.0×10 * 3/micro lit RBC 4.05 ×10 *3/micro lit HB 11.6 g/dl HCT 35.5% MCV 87.7 fl MCH 28.6 pg MCHC 32.7 g/dl PLT 362 ×10 *3 RBS 63 mg/dl Urea 32 mg /dl Creatinine 1.0 mg/dl NA + 137 mmol /lit K+3.7 mmol /lit Chloride 121 mmol /lit Sr. Calcium 8.8 mg /dl Sr. Magnesium2.7 mg /dl

6. ECG OPEN FOR DISCUSSION