53year old female complaints of retrosternal pain known case of dm htn hyperlipidemia post covid one year ago plz advise
NEEDS 1. CLINICAL. CORRELATION 2. SYMPTOMATIC MANAGEMENT
Status of DM and hyperlipidemia?? Tsh S creatinin? Constipation? Hyperacidity Hiatus hernia??
D/D of retrosternal pain is - Fibromyalgia Acid reflux Esophagitis Hiatus hernia Cardiac pathology 2D Echo and ECG is wnl It is not a cardiac pain So r/o for other causes and treat accordingly.
It may be due to acidity or due to cardiac complications..rule out this first
ECG . NAD . Need symptomatic t/t .
Hba1c, TFT RFT, urine microalbumin. Tight glycemic and BP control.
ECG STUDY .. NORMAL .. NEED'S.. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION.. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. ANTIHYPERTENSIVE MEDICATIONS..
Low voltage ECG. Adv to control diabetes and thyroid
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