cardiology presenation 2 im492012 slideshare
DESCRIPTION
ECG, CXR , ECHO , Cardiac AmyloidosisTRANSCRIPT
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Cardiology Presenation 2 IM
Dr Ihab Suliman
4/9/2012
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Clear Lung fields , ? Aortic Aneurysm
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Rendered 3D Cardiac CT
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Contained aortic rupture/pseudoaneurysm
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14 Years old syrian male with severe SOB
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• Severe LVH , Incomplete LBBB , Biatrial enlargement .
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Severe cardiomegally
1-DCM
2-Multivalvular lesions
3-Pericardiac Effusion
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86 years old male with Acute Heart Failure
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• AF controlled , IVCD , Inferior Q , Anterior Q, Low Voltage inferior
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Senile cardiac amyloidois
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Clinical Findings in Cardiac Clinical Findings in Cardiac AmyloidosisAmyloidosis
• Congestive heart failure (normally right Congestive heart failure (normally right sided)sided)
• Syncope or pre-syncope (usually poor Syncope or pre-syncope (usually poor prognostic sign)prognostic sign)
• Conduction system abnormalities (a fib, Conduction system abnormalities (a fib, AV block)AV block)
• Ischemic stroke from intracardiac Ischemic stroke from intracardiac thrombusthrombus
• ““mass voltage disassociation” mass voltage disassociation”
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• NSR , PR segment depression , LVH , Prolonged QT .
• Peaked T –wave
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• Fluid overload , Bilateral pleural effusion s , Permacath
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• WPW
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• Short QT
• Hypercalcemia, Digoxin effect , Acidosis
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