Dr. Manohar Rao (Cardiology) needs a second opinion on this medical case.
A 60 yr old female admitted with h/,o.palpitations & chest pain.she had such one episode 1 month back.which was relieved with some medications. Details of which are not available. On examination she had irregular pulse.on auscultation M1 is loud.she was managed in icu.ecgs on admission & after 2hrs of icu management are posted. Pl discuss what could be the diagnosis. and plan of management. Pt is comfortable in 2hrs of management. 2d echo is done & final diagnosis is done.her cardiac enzymes are normal