Cardiology Cases Presentation24/7/2010

Dr Ihab Suliman

24/7/2010

• Persantin Nuclear was very abnormal , severe lateral wall ischemia, TID 1.23, Drop in LVEF.

• Expect Multi-vessel CAD.

• Cardiac Cath Showed Severe LAD,CX disease.

49 years old male with Syncope

• NSR ,Non-specific ECG changes

• Cardiomegally ,Mild LVF.

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

• Non-ischemic Cardiomyopathy.

• Patient is evaluated for AICD.

33 years old male with Chest Pain

• Hyperacute Anterior STEMI , Sinus with PVCs.