ECG, ECHO ,CXR , Pulmonary embolism excellent collection of cardiac & ER cases

1. Cardiology Presentation 2 IM
Dr Ihab Suliman
6/6/2012

2. Case 1
• 71 years old lady , came to ER with
Progressive SOB.
• Admitted and discharged with CVA

4. • AF Tachy, T-wave inversion anterolateral
leads new

6. • AF controlled ventricular rate this was the
base line ECG.

9. • CXR though portable clear , NG tube in
place

11. • D-Dimer is very much elevated

15. • Bilateral Major Plumonary filling defects of
Pumonary embolism

16. • D-Dimer generation

17. Case 2

18. 60 years old male with Chest Pain sent
from Dialysis unit 2 ER

19. K was 8.0

22. ECG after Correction of
Hyperkalemia

23. Case 3
• 52 years old male with svere crushing
chest pain , sweating .

25. • Acute Inferoposterior STEMI in sinus

27. • ECG after PCI

28. 37 years old male with Acute SOB

33. Echo showed Normal Size LV , Dilated RV

34. • Again Pulmonary Embolism

35. 60 years old lady with Recent Chest Infection
started on Avelox (Moxifloxacin)

36. • NSR , Giant T-wave inversion, Prolonged
QT interval. ??? Drug Induced
• Other causes ischemia,bio –chemical ,
Congenital .

37. 50 years old male with
Polysplenism

39. • DEXTROCARD

40. 26 Old army officer had flu last week,felt chest pain while driving his
car,pain increased by deep breath,he has no history of DM or
HTN,nonsmoker,lipid profile LDL 2.0 MMMOL/L

41. • Acute Pericarditis

42. 26 Old army officer had flu last week, felt chest pain
while driving his car, pain increased by deep breath,
ECG after 5 days.

43. • Resolved Pericardtis.

44. • 60 YEARS OLD MALE WITH ACOTE
SOB

46. • Acute Pulmonary edema

48. • Same patient after IV DIURSIS

49. • 20 years old female on discharge from
CCU after invasive cardiac procedure.
• C/O SOB

52. • CXR of a female patient post PDA Closure
Devise in place.

53. 53 years old male with Previous history of pontine
Hemorrhage , visited the clinic with Chest Pain, 2 sets of
cardiac Enzymes are Normal
A 49 yo M presents after he fainted while
running on his treadmill at home. He has
been having exertional dyspnea and
angina for the past several months.
Which of the following disease is most
likely to cause these symptoms?

55. • NSR, LVH + LV Strain Pattern

56. 55 Years old lady with SOB &
fatigability

57. • NSR , Low voltage ECG on Limb leads &
pre cordial leads

59. • Echo showed Pericardial Effusion

61. • Severe Hypothyroidism

62. • Many Thanks
• Dr Ihab Suliman
• MBBS, ECFMF,CBNC,MRCP,Arab Board
of Cardiology