cardiology presentation 2 im 762012
DESCRIPTION
Extensive ante STEMI, ECG , CXR , ECHOLow voltage ECGTRANSCRIPT
![Page 1: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/1.jpg)
Cardiology Presentation 2 IM
Dr Ihab Suliman
7/6/2012
![Page 2: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/2.jpg)
Case 1
• 45 years old lady with severe SOB
![Page 3: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/3.jpg)
![Page 4: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/4.jpg)
• Low Voltage with PVCs
![Page 5: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/5.jpg)
![Page 6: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/6.jpg)
• NSR, Limb Lead Low Volatge with Non=specific ST-T changes.
![Page 7: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/7.jpg)
![Page 8: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/8.jpg)
• Severe Cardiomegally due to Pericardial effusion
![Page 9: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/9.jpg)
![Page 10: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/10.jpg)
• CXR almost Normal from another patient to Compare with
![Page 11: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/11.jpg)
![Page 12: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/12.jpg)
![Page 13: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/13.jpg)
![Page 14: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/14.jpg)
![Page 15: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/15.jpg)
![Page 16: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/16.jpg)
![Page 17: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/17.jpg)
• ECHO showing Pericardial efusion , dilated RA
![Page 18: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/18.jpg)
Case 2
• 41 years female with palpitations
![Page 19: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/19.jpg)
![Page 20: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/20.jpg)
• AF with Ashman phenomenon , PVCs with RBBB morphology
![Page 21: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/21.jpg)
![Page 22: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/22.jpg)
• NSR
![Page 23: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/23.jpg)
![Page 24: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/24.jpg)
![Page 25: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/25.jpg)
• Modearte AR as shown by Color jet
![Page 26: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/26.jpg)
Case 3
• 48 years old male with sever CP
![Page 27: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/27.jpg)
![Page 28: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/28.jpg)
• Extensive Anterior STEMI but with Q-waves , MI duration is more than 6 hours
![Page 29: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/29.jpg)
![Page 30: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/30.jpg)
• After LAD PCI
![Page 31: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/31.jpg)
![Page 32: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/32.jpg)
• Already first trop I and CK are high due to late presentation
![Page 33: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/33.jpg)
Case 4
• 55 years old male with CP
![Page 34: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/34.jpg)
![Page 35: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/35.jpg)
• SKY High Anterior STEMI in Sinus
![Page 36: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/36.jpg)
![Page 37: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/37.jpg)
![Page 38: Cardiology presentation 2 im 762012](https://reader034.vdocument.in/reader034/viewer/2022052321/55619f58d8b42ae9708b465a/html5/thumbnails/38.jpg)
• ECG after PCI