Ihab Suliman

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Cardiology Cases15/1/2010

Transcript of Ihab Suliman

Cardiology Case Presentation

Dr Ihab Suliman

15/1/2010

43 years old with Chest Pain

Right side ECG

• Acute Inferior STEMI in NSR.

• No evidence of RV infarction y ECG

• Most likely is RCA occlusion because ST elevation more in lead 111>11

• Post Angioplasty Primary PCI of RCA.

• Mid RCA lesion with Clot.

• RCA lesion after clot suction & PCI

• Same patient with Inferior MI , there is complex lesion LAD/Dagonals, needs staged PCI.

• 55 years old lady with long standing DM, had chest pain, persantin nuclear stress is performed

• There is severe reversible Ischemia involving LAD & RCA territories.

• Cx area is ok.

• Angiogram showing Critical LAD proximal lesion

•Thank u very much