1. Heart disease

2. Congenital Ischemic Hypertensive Valvular Cardiomyopathy Pericardium Tumors

3. Congenital ISCHEMIC HYPERTENSIVE VALVULAR MYOPATHIC

4. Dyspnea –on exertion –at rest Orthopnea –redistribution of peripheral edema fluid –graded by number of pillows needed Paroxysmal Nocturnal Dyspnea (PND) Heart failure

5. ISCHEMIC Angina Pectoris Myocardial Infarction Chronic IHD  CHF Sudden Cardiac Death Acute Coronary Syndromes: –UNSTABLE ANGINA –AMI –SCD

6. HYPERTENSIVE Hypertrophic adaptive response –Myocardial dysfunction –Cardiac dilatation –CHF –Sudden death

7. VALVULAR Stenosis Regurgitation

8. CARDIOMYOPATHIES 1.Inflammatory 2.Immunologic 3.Metabolic 4.Dystrophies 5.Genetic 6.Idiopathic

9. CARDIOMYOPATHIES DILATED HYPERTROPHIC RESTRICTIVE

10. CARDIOMYOPATHIES Chest pain is common Frequently asymptomatic Severe cases associated with heart failure, arrhythmias ECG abnormalities are often present, although the changes are frequently nonspecific Left ventricular hypertrophy may be present An echocardiogram is useful Chest radiographs can be normal or can show evidence of congestive heart failure or cardiomegaly.

11. Treatment medication changes in lifestyle Implanted pacemakers Defibrillators (LVADs) ablation

12. Slide 1 - test Additional slides in Demonstration lecture Assessment

13. How many type of Hypertireoidism do you know ? What’s your source of information ?