Cardiology presenation 2 im492012 slideshare

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ECG, CXR , ECHO , Cardiac Amyloidosis

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Cardiology presenation 2 im492012 slideshare

  1. 1. Cardiology Presenation 2 IM Dr Ihab Suliman 4/9/2012
  2. 2. Clear Lung fields , ?Aortic Aneurysm
  3. 3. Rendered 3DCardiac CT
  4. 4. Contained aorticrupture/pseudoaneurysm
  5. 5. 14 Years old syrian male with severe SOB
  6. 6. • Severe LVH , Incomplete LBBB , Biatrial enlargement .
  7. 7. Severe cardiomegally1-DCM2-Multivalvular lesions3-Pericardiac Effusion
  8. 8. 86 years old male with Acute Heart Failure
  9. 9. • AF controlled , IVCD , Inferior Q , Anterior Q, Low Voltage inferior
  10. 10. Senile cardiac amyloidois
  11. 11. Clinical Findings in Cardiac Amyloidosis• Congestive heart failure (normally right sided)• Syncope or pre-syncope (usually poor prognostic sign)• Conduction system abnormalities (a fib, AV block)• Ischemic stroke from intracardiac thrombus• “mass voltage disassociation”
  12. 12. • NSR , PR segment depression , LVH , Prolonged QT .• Peaked T –wave
  13. 13. • Fluid overload , Bilateral pleural effusion s , Permacath
  14. 14. • WPW
  15. 15. • Short QT• Hypercalcemia, Digoxin effect , Acidosis

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