A 45 year old man comes to your OPD with complaints of frequently getting up at night due to shortness of breath.

A 45 year old man comes to your OPD with complaints of frequently getting up at night due to shortness of breath.

His BP is 140 / 90 mmHg .

He has a BMI of 35.

You conduct routine examination including ECG and Baseline bloods.

His ECG is shown below :

1. What are the findings in his ECG.

2. What are the causes of this ECG Findings ?

3. What is the cause of this ECG finding in his case ?

Answers given in comments section.

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1. What are the findings in his ECG.

A. low voltage QRS complexes

B. Regular Rhythm

C. Tachycardia : Heart rate upto 140 beats / minute.

2. What are the causes of this ECG Findings ?

Causes of Low Voltage QRS complexes include :

Obesity.

Chronic obstructive pulmonary disease, or COPD.

Pericardial effusion.

Severe hypothyroidism.

Subcutaneous emphysema.

Massive myocardial damage/infarction.

Infiltrative/restrictive diseases such as amyloid cardiomyopathy.

3. What is the cause of this ECG finding in his case ?

Raised BMI / Obesity.