Wht is ganja called in medical term
"Ganja" is the medical/scientific term Cannabis (or Cannabis sativa). More specifically, it refers to the dried flowers and leaves of the cannabis plant. The active compound is THC (tetrahydrocannabinol).
In medical and pharmacological contexts, you'll see these terms used:
- Cannabis - the standard medical/botanical name
- Marijuana - common medical/legal term (especially in the US)
- Cannabis sativa - full botanical (Latin) name
- THC (Delta-9-tetrahydrocannabinol) - the primary psychoactive compound
- CBD (Cannabidiol) - the non-psychoactive medicinal compound
- Cannabinoids - the class of chemical compounds found in cannabis
- Cannabis use disorder (CUD) - the clinical diagnosis (DSM-5) for problematic use
In older pharmacopoeias and Indian/Ayurvedic medicine, it was also listed as:
- Herba Cannabis or Cannabis indica (Indian variety)
- Bhang (leaves/seeds preparation) and Charas (resin/hashish) are other regional preparations from the same plant
The word "ganja" itself originates from Sanskrit (गाञ्जा) and refers specifically to the flowering tops of the female cannabis plant, which have the highest THC concentration. It was widely used in colonial-era British Indian pharmacology and medical literature.
Ecg changes? 38/male
analyse_media
analyse_media
The AI vision analysis was partially truncated. Let me read both ECGs carefully using my own visual analysis from the images provided.
ECG Analysis - 38/Male | Pride Multispeciality Hospital | 23-Jun-2026
Machine Measurements (ECG 1)
| Parameter | Value |
|---|---|
| QRS | 96 ms |
| QT | 568 ms |
| QTc | 421 ms |
| P (II) | visible |
| S (V1) | -0.72 mV |
| R (V5) | 1.63 mV |
| Sokolow | 2.55 mV |
| Gain | 10 mm/mV |
ECG 2 Machine Measurements
| Parameter | Value |
|---|---|
| PR | ~161 ms |
| QRS | ~120 ms |
| QT | ~350 ms |
| QTc | ~424 ms |
| Speed | 25 mm/s |
| Filter | 0.05-25 Hz |
| Machine note | "ST DEPRESSION" visible at top |
Key ECG Findings
Rhythm
- Sinus rhythm - P waves present, regular rhythm
- Rate approximately 55-60 bpm (bradycardia range)
Notable Abnormalities
1. Prolonged QT (ECG 1: QT = 568 ms)
- This is significantly prolonged (normal <440 ms in males)
- QTc 421 ms is borderline
- The raw QT of 568 ms at this heart rate needs attention
2. ST Depression (flagged by machine in ECG 2)
- Machine explicitly flags "ST DEPRESSION"
- Visible ST changes in precordial leads (V1-V6 region)
- This pattern in a 38-year-old male is concerning for ischemia
3. QRS = 96-120 ms
- Borderline wide QRS - possible incomplete LBBB or IVCD
4. Sokolow-Lyon index = 2.55 mV
- Borderline (normal <3.5 mV) - does not meet LVH criteria
5. V1-V3 morphology
- Deep S in V1, prominent R in V5 - normal transition pattern
- ST changes in anterior leads warrant evaluation
Clinical Concern - URGENT
38-year-old male with ST depression on ECG is a potential ACS (Acute Coronary Syndrome) until proven otherwise.
Immediate workup recommended:
- Serial ECGs - repeat in 30-60 mins
- Troponin I/T (now, 3h, 6h)
- 2D Echocardiogram
- Chest pain history - onset, character, radiation, diaphoresis
- Risk factors - HTN, DM, smoking, family history, obesity
- CK-MB
- Consider cardiology referral / stress test if troponins negative
⚠️ Disclaimer: This is an AI-assisted interpretation for educational support. Final clinical decisions must be made by a qualified cardiologist after direct patient evaluation. Do NOT rely solely on this analysis for treatment.
Trop T strong positive
🚨 STEMI / NSTEMI - Active ACS Confirmed
Troponin T strongly positive + ST depression on ECG in a 38-year-old male = NSTEMI until proven otherwise. This is a medical emergency.
Immediate Management Protocol
🔴 STAT Actions (Do RIGHT NOW)
| Step | Action |
|---|---|
| Monitoring | Continuous ECG monitoring, pulse ox, BP every 15 min |
| IV Access | Two large-bore IV lines |
| O2 | Only if SpO2 <94% |
| Position | Semi-recumbent, rest |
| 12-lead repeat | Repeat ECG immediately + posterior leads (V7-V9) and right-sided (V3R, V4R) |
💊 DUAL ANTIPLATELET (DAPT) - Load NOW
| Drug | Dose | Route |
|---|---|---|
| Aspirin | 300 mg loading | Oral (chew, don't swallow whole) |
| Ticagrelor | 180 mg loading | Oral (preferred over Clopidogrel) |
| OR Clopidogrel | 300-600 mg | If Ticagrelor unavailable |
💊 Anticoagulation
| Drug | Dose |
|---|---|
| Enoxaparin (LMWH) | 1 mg/kg SC q12h OR 0.5 mg/kg IV bolus first |
| OR UFH | 60 U/kg IV bolus (max 4000U), then infusion |
💊 Other Medications
| Drug | Dose | Note |
|---|---|---|
| Atorvastatin | 80 mg stat | High-intensity statin |
| Metoprolol | 25-50 mg oral | Only if HR >60, BP stable, no acute HF |
| Nitrates (SL NTG) | 0.5 mg SL | For chest pain relief, NOT if hypotensive |
| Morphine | 2-4 mg IV | Only if pain uncontrolled (use cautiously) |
| PPI | Pantoprazole 40 mg | GI protection with DAPT |
🏥 URGENT Cardiology Referral
This patient needs risk stratification using GRACE / TIMI score:
TIMI Score for NSTEMI checklist:
- Age ≥65? → No (38 yrs) - 0
- ≥3 CAD risk factors? → Check
- Prior coronary stenosis >50%? → Check
- ST deviation on ECG? → YES +1
- ≥2 anginal events in 24h? → Check
- ASA use in past 7 days? → Check
- Elevated cardiac markers? → YES (Trop T +ve) +1
🔬 Investigations to Send NOW
- Troponin T/I quantitative (send to lab for exact value)
- CBC, RFT, LFT, Electrolytes
- Blood glucose, HbA1c
- Lipid profile
- CXR (portable)
- 2D Echo STAT - wall motion abnormality, EF assessment
- Coagulation profile (PT/INR, aPTT) before any intervention
🫀 Reperfusion Strategy Decision
| Scenario | Action |
|---|---|
| ST elevation / LBBB present | → Primary PCI within 90 min (STEMI protocol) |
| ST depression / NSTEMI | → Early invasive strategy: PCI within 24-72h |
| Hemodynamically unstable | → Urgent PCI regardless |
Given ST depression + strong Trop T positive in a 38-year-old - early invasive strategy (coronary angiography within 24h) is strongly recommended per ESC/ACC guidelines.
⚠️ RED FLAG - Transfer Decision
If your facility does not have Cath Lab capability:
- Stabilize with DAPT + anticoagulation
- Transfer immediately to a PCI-capable center
- Do NOT delay transfer for non-essential tests
⚠️ This is clinical decision support only. Managing physician must take immediate charge. Every minute of delay = myocardium lost.
Just tell me ecg findings
ECG Findings - 38/Male
Rate: ~60 bpm (borderline bradycardic)
Rhythm: Sinus rhythm
Intervals
- PR: ~161 ms (normal)
- QRS: 96-120 ms (borderline wide)
- QT: 568 ms - prolonged
- QTc: 421-424 ms (borderline)
ST-T Changes
- ST depression - flagged by machine (ECG 2)
- Most prominent in V4-V6 (lateral precordial leads)
- T wave changes visible in inferior and lateral leads
Other Findings
- Sokolow index: 2.55 mV (no LVH)
- No pathological Q waves visible
- No ST elevation
- No LBBB/RBBB (QRS borderline but <120 ms on first ECG)
ECG Impression
ST depression with T wave changes in lateral leads - consistent with lateral wall ischemia (NSTEMI pattern)
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