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Table of Contents
Year : 2021  |  Volume : 9  |  Issue : 2  |  Page : 130-131

ECG diagnosis

Senior Consultant in Internal Medicine and Diabetes, Prem Health Care, 671, Nrupatunga Road, Kuvempunagar, Mysore, Karnataka, India

Date of Submission19-Sep-2020
Date of Decision16-Oct-2020
Date of Acceptance18-Oct-2020
Date of Web Publication21-Apr-2021

Correspondence Address:
Dr. Manjunath Premanath
Nisarga, H No. 21, Block 9, Madhuvana Lay Out, Srirampura II Stage, Mysore - 570 034, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ajim.ajim_74_20

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How to cite this article:
Premanath M. ECG diagnosis. APIK J Int Med 2021;9:130-1

How to cite this URL:
Premanath M. ECG diagnosis. APIK J Int Med [serial online] 2021 [cited 2022 Dec 4];9:130-1. Available from: https://www.ajim.in/text.asp?2021/9/2/130/314199

A 68-year-old male patient, who had mild hypertension on angiotensin-receptor blocker, went to England and from there to the USA to meet his daughter in the month of May 2019. He was in the pink of health when he travelled. When he returned after 6 months, he was breathless, unable to walk a few meters without dyspnea, Pale, and had pedal edema. His electrocardiogram (ECG) was done [Figure 1]. He was investigated and was put on treatment. His ECG was done after 2 months [Figure 2].
Figure 1: Electrocardiogram shows normal sinus rhythm with a rate of 125/min, normal axis, normal P and QRS complexes. Rs complex in V1 and V2, No RAD, R/S in V1 is >1 but R in V1 is 4 mm. There is no ST depression or T wave inversion in V1 and no S1 S2 S3 pattern in Leads I, II and III There is down sloping ST depression of >1 mm in leads V2–V6

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Figure 2: Electrocardiogram done 2 months later, shows normal sinus rhythm with a rate of 68/min, normal axis, RS complexes in V1 and V2, normal ST in anterolateral leads. Essentially a normal electrocardiogram

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What does the ECGs show? And what is your interpretation of what might have happened?

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient (s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.


  [Figure 1], [Figure 2]


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