A 49-year-old male presented with syncope and was found to have cardiomyopathy with severely reduced ejection fraction less than 25% based on echocardiogram findings. Cardiac catheterization showed severe blockages of the left anterior descending and circumflex arteries. Despite a non-ischemic etiology, the patient was evaluated for an implantable cardioverter-defibrillator due to the reduced ejection fraction. A separate 33-year-old male presented with chest pain and was diagnosed with an anterior STEMI based on ECG findings.

1. Cardiology Cases Presentation 24/7/2010 Dr Ihab Suliman 24/7/2010

6. Persantin Nuclear was very abnormal , severe lateral wall ischemia, TID 1.23, Drop in LVEF. Expect Multi-vessel CAD.

9. Cardiac Cath Showed Severe LAD,CX disease.

10. 49 years old male with Syncope

11. NSR ,Non-specific ECG changes

13. Cardiomegally ,Mild LVF.

14. ECHO The left ventricle is moderately dilated. There is no thrombus. There is global thinning of the left ventricular walls. Left ventricular systolic function is severely reduced. Ejection Fraction = <25%. The transmitral spectral Doppler flow pattern is suggestive of impaired LV relaxation. There is severe global hypokinesis of the left ventricle. Moderate left atrial enlargement. The right atrium is mildly dilated. There is trace mitral regurgitation. There is trace tricuspid regurgitation

17. Non-ischemic Cardiomyopathy. Patient is evaluated for AICD.

18. 33 years old male with Chest Pain

19. Hyperacute Anterior STEMI , Sinus with PVCs.