There are many diseases that can produce symptoms similar to heart attacks but it is not real heart attacks.there will be a symptom over lap So it is very very important to reconganise actual condition that mimics heart attack. correct diagnosis is necessary to save the life of the patient which requires expertise in cardiology pratice
CASE: 1
42 years old obese man developed breathlessness for normal physical exertion PULMONARY EMBOLISM (PE) on conservative treatment because blood clots blocked branch vessels IV Injection Heparin for 72 hours and Oral Anti Coagalants
- ECHO REPORT
- Blood Clot blocking the branches of main pulmonary arteries NOT THE MAIN PULMONARY ARTERY so the patient survived the Pulmonary Embolism and Conservative management is treatment option.
CASE: 2
44 years old man developed sudden on set of breathing problem & become restless and unconscious and collasped due to massive PULMONARY EMBOLISM (PE) blood clot blocking main blood vessel and right ventricle (RV)
- Blood Clot Floating in the Right atrium & Right ventricle.
VALUE OF IVC - FILTER
CASE: 3
48 years old lady developed recurrent DVT (Blood clot in the left leg) and one episode of Moderate PULMONARY EMBOLISM (PE). To prevent further PULMONARY EMBOLISM (PE) IVC filters inserted in IVC
CASE: 4
53 years old bank manager known case of bilateral DVT both legs blood clot on Tablet Acitrom. Develop severe breathlessness due to PULMONARY EMBOLISM (PE) due to both legs are blocked by blood clot IVC filter placed through Right internal Jugular Vein
All Threatening ECGs are not REAL THREAT
CASE: 5
85 years old man referred for cardiac fitness to undergo catract surgery due to grass ECG changes.
But this patients has disease of the heart muscle (Cardiomyopathy) which is harmless it is there since the birth of this man (85 years).
So just because of abnormal ECG surgical fitness need not be denied
LIFE THEARTING HEART DISEASES IN YOUNG ADULTS OTHERTHAN HEART ATTACKS
There are some diseases can affect young adults due to genetic reasons most common disease is hypertrophic cardiomyopathy (HCM / HOCM) this disease some time can cause sudden cardiac arrest on severe physical exertion (Violent Exercise / Athletic events)
CASE: 1
20 Years Engineering college student refered for ECG changes but no cardiac symptoms except for mid giddiness.
- HOLTER TEST
