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 ,  Congenita...
50 years old male with    Polysplenism
• DEXTROCARD
26 Old army officer had flu last week,felt chest pain while driving his   car,pain increased by deep breath,he has no hist...
• Acute Pericarditis
26 Old army officer had flu last week, felt chest painwhile driving his car, pain increased by deep breath,               ...
• 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 pontineHemorrhage , visited the clinic with Chest Pain, 2 sets of            ca...
• 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
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
Cardiology presenation 2 im slide share 662012
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Cardiology presenation 2 im slide share 662012

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ECG, ECHO ,CXR , Pulmonary embolism
excellent collection of cardiac & ER cases

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Cardiology presenation 2 im slide share 662012

  1. 1. Cardiology Presentation 2 IM Dr Ihab Suliman 6/6/2012
  2. 2. Case 1• 71 years old lady , came to ER with Progressive SOB.• Admitted and discharged with CVA
  3. 3. • AF Tachy, T-wave inversion anterolateral leads new
  4. 4. • AF controlled ventricular rate this was the base line ECG.
  5. 5. • CXR though portable clear , NG tube in place
  6. 6. • D-Dimer is very much elevated
  7. 7. • Bilateral Major Plumonary filling defects of Pumonary embolism
  8. 8. • D-Dimer generation
  9. 9. Case 2
  10. 10. 60 years old male with Chest Pain sent from Dialysis unit 2 ER
  11. 11. K was 8.0
  12. 12. ECG after Correction of Hyperkalemia
  13. 13. Case 3• 52 years old male with svere crushing chest pain , sweating .
  14. 14. • Acute Inferoposterior STEMI in sinus
  15. 15. • ECG after PCI
  16. 16. 37 years old male with Acute SOB
  17. 17. Echo showed Normal Size LV , Dilated RV
  18. 18. • Again Pulmonary Embolism
  19. 19. 60 years old lady with Recent Chest Infection started on Avelox (Moxifloxacin)
  20. 20. • NSR , Giant T-wave inversion, Prolonged QT interval. ??? Drug Induced• Other causes ischemia,bio –chemical , Congenital .
  21. 21. 50 years old male with Polysplenism
  22. 22. • DEXTROCARD
  23. 23. 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 HTN,nonsmoker,lipid profile LDL 2.0 MMMOL/L
  24. 24. • Acute Pericarditis
  25. 25. 26 Old army officer had flu last week, felt chest painwhile driving his car, pain increased by deep breath, ECG after 5 days.
  26. 26. • Resolved Pericardtis.
  27. 27. • 60 YEARS OLD MALE WITH ACOTE SOB
  28. 28. • Acute Pulmonary edema
  29. 29. • Same patient after IV DIURSIS
  30. 30. • 20 years old female on discharge from CCU after invasive cardiac procedure.• C/O SOB
  31. 31. • CXR of a female patient post PDA Closure Devise in place.
  32. 32. 53 years old male with Previous history of pontineHemorrhage , visited the clinic with Chest Pain, 2 sets of cardiac Enzymes are NormalA 49 yo M presents after he fainted whilerunning on his treadmill at home. He hasbeen having exertional dyspnea andangina for the past several months.Which of the following disease is mostlikely to cause these symptoms?
  33. 33. • NSR, LVH + LV Strain Pattern
  34. 34. 55 Years old lady with SOB & fatigability
  35. 35. • NSR , Low voltage ECG on Limb leads & pre cordial leads
  36. 36. • Echo showed Pericardial Effusion
  37. 37. • Severe Hypothyroidism
  38. 38. • Many Thanks• Dr Ihab Suliman• MBBS, ECFMF,CBNC,MRCP,Arab Board of Cardiology

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