cardiology presenation 2 im492012 slideshare
DESCRIPTION
ECG, CXR , ECHO , Cardiac AmyloidosisTRANSCRIPT
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