Adel Hassan Allam, MD, FASNC

Professor Of Cardiology

Al-Azhar University

Patient 1

Mr. HH is a 33 yrs old male. C/O chest pain. He is a smoker

and dyslipidemic. On Concor, Imdur, Lipitor, Plavix and

Aspirin. "the underlined medications were stopped before

the test". Resting H.R 73 bpm, resting B.P 120/80, resting

ECG inverted T waves II, III, aVF; V3-V6. The patient was

exercised for 9' 29" 29" stage IV Bruce protocol. The test

was terminated because of S.O.B, he developed mild chest

pain. Peak HR 160 bpm, peak B.P 150/90, ECG showed 1-2

mm of ST depression II,III,aVF;V5-V6.ST elevation V1-V3.

Patient 2

Mr. AH is a 27 yrs old male. For post MI "2013" evaluation.

He is a smoker, no other known risk factors for CAD. On

Concor, Lipitor, Plavix and Aspirin.

Patient 3

Mrs. HH is a 56 yrs old female. CABG since 11yrs, PCI 2015.

C/O recurrent chest pain. She is hypertensive, DM and

dyslipidemic. On Concor, Nitomack, Ator ,Plavix and

Aspirin. "the underlined medications were stopped before

the test". Resting H.R 76 bpm, resting B.P 120/80, resting

ECG ST depression II, III, aVF; V2-V6. The patient was

exercised for 4' 26" 1’ 26" stage II Bruce protocol. The test

was terminated because of chest pain. Peak HR 144 bpm,

peak B.P 160/90, ECG showed further ST depression

II,III,aVF.