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(ECG) A 23 year-old man came after an episode of syncope at home...

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asked Mar 23, 2014 in Medicine by Rajesh Bahara

A 23 year-old man is brought in by paramedics after an episode of syncope at home. On arrival he is in severe respiratory distress, extremely pale and dripping with sweat. BP is 125/70, HR is 80bpm, RR 40, SaO2 95% on 15L O2 via NRB. Portable CXR in resus is normal.

 

ecg exidency 001

 

What is the most likely diagnosis?

A) Lateral MI

B) Pericarditis

C) Pulmonary embolism

D) LBBB

E) Normal ECG

3 Answers

0 votes
 
Best answer
C) Pulmonary embolism
answered Mar 23, 2014 by Rajesh Bahara
0 votes
Ma ans will b lbbb,as v4,b5,v6 shows broad qrs complex with m pattern,with f/o lad,with absent q waves in v4,v5,v6,hr regular.,avl shows t wave inversion whoch can b discordant feature here
answered Mar 29, 2014 by rohit prasad
0 votes
D lbbb
answered Mar 31, 2014 by anonymous
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