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SHJ VOL 6, NO 1

 

CONTENTS

 

Table of Content

 

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CASE REPORT

 

Renal Artery Stenosis presenting as acute worsening of Heart Failure with Preserved Systolic Function in a Hypertensive Patient

 

Abstract:
We describe a case of 52-year-old female who presented with heart failure, uncontrolled hypertension and worsening renal function with progression of heart failure on starting an Angiotensin Converting Enzyme Inhibitor (ACE-I). Magnetic Resonance Angiography (MRA) revealed significant stenosis of the right renal artery. Her symptoms and blood pressure improved after renal artery stenting.

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1-5

Dr. Anas Mahmoud Abbas, Dr. Geili Abdalla, Dr. Khalifa Omar

renal, artery, stenosis, heart, failure, systolic, hypertensive

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 Two Consecutive Acute Myocardial Infarctions in a Thrombolysed patient

 

Abstract:
A second episode of ST segment elevation myocardial infarction (STEMI) in a patient who had been thrombolysed for a first infarct in less than 48 hours is rare. We report a case of acute inferior STEMI in a 70-year-old patient who was thrombolysed with Streptokinase 32 hours earlier for anterior STEMI.

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6-8

Dr. Mohamed A Abdelmalik, Dr. Nosyba M Hussein, Hamoda A Ali

consecutive, acute, myocardial, infraction, thrombolyse

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 A Case of Acute Coronary Syndrome and De Winter ECG Pattern.   Reflections on Management for a Limited Resource Setting

 

Abstract:
We describe a case of acute coronary syndrome and de Winter electrocardiographic pattern treated with a pharmaco-invasive approach. We discuss the treatment plan and controversies in management of similar cases in limited resource setting especially the role of fibrinolysis. 

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9-12

Dr. Ahmed AA Suliman, Dr. Emadaldein M Ahmed

acute, coronary, syndrome, winter, ecg, pattern

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