Cardiology Presenation 2 IM

Dr Ihab Suliman

4/9/2012

Clear Lung fields , ? Aortic Aneurysm

Rendered 3D Cardiac CT

Contained aortic rupture/pseudoaneurysm

14 Years old syrian male with severe SOB

• Severe LVH , Incomplete LBBB , Biatrial enlargement .

Severe cardiomegally

1-DCM

2-Multivalvular lesions

3-Pericardiac Effusion

86 years old male with Acute Heart Failure

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

Senile cardiac amyloidois

Clinical Findings in Cardiac Clinical Findings in Cardiac AmyloidosisAmyloidosis

• Congestive heart failure (normally right Congestive heart failure (normally right sided)sided)

• Syncope or pre-syncope (usually poor Syncope or pre-syncope (usually poor prognostic sign)prognostic sign)

• Conduction system abnormalities (a fib, Conduction system abnormalities (a fib, AV block)AV block)

• Ischemic stroke from intracardiac Ischemic stroke from intracardiac thrombusthrombus

• ““mass voltage disassociation” mass voltage disassociation”

• NSR , PR segment depression , LVH , Prolonged QT .

• Peaked T –wave

• Fluid overload , Bilateral pleural effusion s , Permacath

• WPW

• Short QT

• Hypercalcemia, Digoxin effect , Acidosis