ECG, CXR , ECHO , Cardiac Amyloidosis

1. Cardiology Presenation 2 IM
Dr Ihab Suliman
4/9/2012

3. Clear Lung fields , ?
Aortic Aneurysm

4. Rendered 3D
Cardiac CT

5. Contained aortic
rupture/pseudoa
neurysm

6. 14 Years old syrian male with severe
SOB

7. • Severe LVH , Incomplete LBBB , Biatrial
enlargement .

9. Severe cardiomegally
1-DCM
2-Multivalvular lesions
3-Pericardiac Effusion

15. 86 years old male with Acute Heart
Failure

16. • AF controlled , IVCD , Inferior Q , Anterior
Q, Low Voltage inferior

20. Senile cardiac amyloidois

21. 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”

23. • NSR , PR segment depression , LVH ,
Prolonged QT .
• Peaked T –wave

26. • Fluid overload , Bilateral pleural effusion
s , Permacath

33. • WPW

34. • Short QT
• Hypercalcemia, Digoxin effect , Acidosis