Cardiology Presentation 2 IM

Dr Ihab Suliman

6/6/2012

Case 1

• 71 years old lady , came to ER with Progressive SOB.

• Admitted and discharged with CVA

• AF Tachy, T-wave inversion anterolateral leads new

• AF controlled ventricular rate this was the base line ECG.

• CXR though portable clear , NG tube in place

• D-Dimer is very much elevated

• Bilateral Major Plumonary filling defects of Pumonary embolism

• D-Dimer generation

Case 2

60 years old male with Chest Pain sent from Dialysis unit 2 ER

K was 8.0

ECG after Correction of Hyperkalemia

Case 3

• 52 years old male with svere crushing chest pain , sweating .

• Acute Inferoposterior STEMI in sinus

• ECG after PCI

37 years old male with Acute SOB

Echo showed Normal Size LV , Dilated RV

• Again Pulmonary Embolism

60 years old lady with Recent Chest Infection started on Avelox (Moxifloxacin)

• NSR , Giant T-wave inversion, Prolonged QT interval. ??? Drug Induced

• Other causes ischemia,bio –chemical , Congenital .

50 years old male with 50 years old male with PolysplenismPolysplenism

• DEXTROCARD

26 Old army officer had flu last week,felt chest pain while driving his 26 Old army officer had flu last week,felt chest pain while driving his car,pain increased by deep breath,he has no history of DM or car,pain increased by deep breath,he has no history of DM or

HTN,nonsmoker,lipid profile LDL 2.0 MMMOL/HTN,nonsmoker,lipid profile LDL 2.0 MMMOL/LL

• Acute Pericarditis

26 Old army officer had flu last week, felt chest pain 26 Old army officer had flu last week, felt chest pain while driving his car, pain increased by deep breath, while driving his car, pain increased by deep breath,

ECG after 5 daysECG after 5 days..

• Resolved Pericardtis.

• 60 YEARS OLD MALE WITH ACOTE SOB

• Acute Pulmonary edema

• Same patient after IV DIURSIS

• 20 years old female on discharge from CCU after invasive cardiac procedure.

• C/O SOB

• CXR of a female patient post PDA Closure Devise in place.

53 years old male with Previous history of pontine 53 years old male with Previous history of pontine Hemorrhage , visited the clinic with Chest Pain, 2 sets of Hemorrhage , visited the clinic with Chest Pain, 2 sets of

cardiac Enzymes are Normal cardiac Enzymes are Normal

A 49 yo M presents after he fainted while running on his treadmill at home. He has been having exertional dyspnea and angina for the past several months. Which of the following disease is most likely to cause these symptoms?

• NSR, LVH + LV Strain Pattern

55 Years old lady with SOB & fatigability

• NSR , Low voltage ECG on Limb leads & pre cordial leads

• Echo showed Pericardial Effusion

• Severe Hypothyroidism

• Many Thanks

• Dr Ihab Suliman

• MBBS, ECFMF,CBNC,MRCP,Arab Board of Cardiology