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These abnormaliries were found during a routine check - up What is the differential diagnosis ?
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Forums  »  Open clinical  »  General clinical  »  Differential diagnosis

Differential diagnosis

posted at 25/1/2013 4:49 PM GMT on bmj.com
Posts: 270
First: 2/8/2010
Last: 21/5/2013



These abnormaliries were found during a routine check - up

What is the differential diagnosis ?
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Re: Differential diagnosis

posted at 25/1/2013 6:05 PM GMT on bmj.com
Posts: 3045
First: 27/3/2012
Last: 20/5/2013
The provided leads V2 and V3 show sinus tachycardia with 'symmetrical T wave inversion and slight ST segment elevation with coving, might be a normal phenomenon or a manifestation of acute anterior myocardial infarction, considering the symmetrical T wave inversion, provided the clinical history is significant.
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Re: Differential diagnosis

posted at 27/1/2013 9:48 PM GMT on bmj.com
Posts: 270
First: 2/8/2010
Last: 21/5/2013

That is a possibility !

But bearing in mind the ECG is done in a routine  check - up, ie the patient is symptomless, there can be a differntail diagnosis in this case ?
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Re: Differential diagnosis

posted at 29/1/2013 1:46 PM GMT on bmj.com
Posts: 61
First: 24/10/2011
Last: 21/5/2013
Is it a cardiomyopathy?
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Re: Differential diagnosis

posted at 29/1/2013 2:11 PM GMT on bmj.com
Posts: 963
First: 15/7/2011
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In Response to Re: Differential diagnosis:
The provided leads V1 and V2 show sinus tachycardia with 'symmetrical T wave inversion and slight ST segment elevation with coving, might be a normal phenomenon or a manifestation of acute anterior myocardial infarction , considering the symmetrical T wave inversion, provided the clinical history is significant.
Posted by Dr. K. Ashutosh

Respected Dr Ashutosh, is it not v2 and v3 being shown not v1 and v2? Please forgive my pedantry.
Kirked
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Re: Differential diagnosis

posted at 29/1/2013 2:22 PM GMT on bmj.com
Posts: 3045
First: 27/3/2012
Last: 20/5/2013
In Response to Re: Differential diagnosis:
In Response to Re: Differential diagnosis : Respected Dr Ashutosh, is it not v2 and v3 being shown not v1 and v2? Please forgive my pedantry. Kirked
Posted by kirked


Many thanks respected Kirked for the correction. It is showing leads V2 and V3, and I have had the correction. The answer remains the same anyway!
    
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Re: Differential diagnosis

posted at 29/1/2013 7:06 PM GMT on bmj.com
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First: 29/1/2013
Last: 29/1/2013
Are you hinting at Brugada syndrome?
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Re: Differential diagnosis

posted at 30/1/2013 3:24 AM GMT on bmj.com
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First: 30/1/2013
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Symmetrical T wave inversion in Pre-Cordial Leads ;
Patient is otherwise aymptomatic. 

Is this Takotsubo syndrome ?
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Re: Differential diagnosis

posted at 30/1/2013 8:17 AM GMT on bmj.com
Posts: 61
First: 24/10/2011
Last: 21/5/2013
 Takotsubo syndrome - Ah, so it might be a cardiomyopathy
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Re: Differential diagnosis

posted at 30/1/2013 9:23 AM GMT on bmj.com
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First: 30/1/2013
Last: 31/1/2013
Wellen's syndrome?
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