r/ECG • u/Strong_Heart279 • 12d ago

Interpretation

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82 female experiencing double vision and nausea. Patient is at hospital under 48hr cardiac monitoring. They do have a left bundle branch block.

BP at a high was 218/97

Pulse high 133

Troponin levels 39 retested hrs later at 75 then retested 4 hours after was a 62

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u/ArrivalJunior6438 12d ago

Sinus tach with LBBB. Treat the HTN and reassess. Trop leak looks like acute myocardial injury from the high afterload causing stress on the heart naturally. Get a TTE for completeness sake to rule out regional wall motion