#MedicalCase

Arrhythmia (Cardiology)

Dinesh Kumar., MBBS

 

Medical Case Details:

Male, 32 years, an occasion of a call of the joint venture - pain in the chest. Upon the arrival of the joint venture, complaints of palpitations, a feeling of discomfort in the chest, a feeling of lack of air, dizziness, and severe weakness. From an anamnesis: on "D" does not consist, for medical aid did not address.
Deteriorating conditions within an hour, associates with strong stress. Objectively: the state of medium gravity, the consciousness is clear, excited. The skin is pale, dry. Peripheral edema is absent. In the lungs, breathing is vesicular; there is no wheezing, VN 22 per minute. Heart sounds of sufficient volume, rhythmic, Pulse % 3D 170 per minute. The heart rate is 170 per minute. Blood pressure 60/40 mmHg. Art. The abdomen is soft, painless, and the liver is not enlarged. The chair and diuresis are normal. 1. Formulate the diagnosis, according to the classification. 2. Interpret the results of the examination (ECG). 3. Assign additional survey methods.

 


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    Discussions


    Dr. Amiya Kumar Chattopadhyay
    Cardiologist

    Ventricular tachycardia.

    ▲ 1
    22.Oct, 05:47pm

    Dr. Muhammad Zohaib Siddiq
    Cardiologist

    Ventricular Tachycardia.

    Blood pressure is low.

    Immediate synchronized direct current cardioversion.

    After stabilization send all baselines labs including Electrolytes and thyroid function tests. Have echocardiography done to see mechanical cardiac abnormalities and left Ventricular function.

    CMR and genetic testing may also be needed and family screening

    ▲ 1
    22.Oct, 06:45pm

    Dr. Mehta Kruti Amit
    Family Physician

    Monomorphic Ventricular Tachycardia
    Sustained(symptomatic)
    wide QRS complexes
    haemodynamically unstable
    with a heart rate of 170 beats per minute

    03.Jan, 06:03pm



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