A 60-year-old male with multiple comorbid issues presented to the emergency room with chest pain. An ECG showed tall T waves and right bundle branch block. A CT/PET stress test revealed a small inferolateral infarct and significant peri-infarct ischemia. The patient was referred to cardiology to rule out acute coronary syndrome.

1. Cardiology Morning Presentation 2 IM Dr Ihab Suliman 31/5/2011

2. 60 years old male with Multiple Co-Morbid issues.

3. NSR,RBBB

4. 60 years old male with Multiple COMORBID ISSUES, came 2 ER with CP

5. 60 years old male with Multiple COMORBID ISSUES

6. Tall Tent of hyperkalemiaed T-Waves

9. Referred 2 cardiology 2 r/o ACS

11. CT/Stress –Rest Rubidium (CT/PET) Stress 120 Sec Above Compared 2 Rest 120 sec showed inferolateral small infarct with Significant Peri-infarct ischemia

14. 55 years old male with Previous cardiac history

19. What 2 procedures done.

20. Patent LIMA ,Stent in the CX , occluded graft ( see the nipple on the arch of the aorta), 4 stents in RCA with instent restenosis (see the dark dot inside the RCA stents)

21. 44 years old male survived cardiac arrest & MVA 2005, family screened, he Got AICD

22. 6 years later 2010 , eldest son 23 years old ,had arrest

23. 2005 ECG

27. Brugada syndrome is a heritable arrhythmia syndrome that is characterized by an electrocardiographic pattern consisting of coved-type ST-segment elevation (2 mm) followed by a negative T wave in the right precordial leads, V1 through V3 (often referred to as type 1 Brugada electrocardiographic pattern),

28. Genetic Basis of Brugada Syndrome BrS is inherited as an autosomal dominant trait; however, over 50% of BrS cases may be sporadic.