THE 11 TH ANNUAL SCIENTIFIC MEETING OF THE EGYPTIAN HYPERTENSION SOCIETY

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1 THE 11 TH ANNUAL SCIENTIFIC MEETING OF THE EGYPTIAN HYPERTENSION SOCIETY UNDER THE PATRONAGE OF PROF. DR. HATEM EL-GABALY MINISTER OF HEALTH AND POPULATION APRIL 18-20, 2007 RAMSES HILTON HOTEL CAIRO, EGYPT Scientific Program President of the Society President of the Meeting M. Mohsen Ibrahim, MD Prof. of Cardiology Prof. of Cardiology

2 WELCOME ADDRESS Dear Colleague, It's our pleasure to invite you to participate in the 11 th Annual Scientific meeting of the Egyptian Hypertension Society which will be held in Cairo on April As our practice in the past meetings, we do our best to present state-of-art presentations in the field of hypertension addressing different domains, experimental research, clinical aspects, and different problems encountered in management of hypertension, particularly in our region. Hypertension is considered as a global major health problem in prevalence, treatment and control even in developed countries applying the most advanced health care system and unlimited resources. This annual meeting is a good opportunity to share the most advanced scientific information with distinguished faculty from USA, Europe and Arab World as well as our local Egyptian Experts from different disciplines: internists, nephrologists, cardiologists and pediatricians. I am confident that your contribution will enrich the scientific discussion and exchange of experience. Fortunately, Cairo, the historical city of the Middle East will enjoy a moderate warm climate at this time of the year. The social program will surly include sights representing different phases of the Egyptian civilization; pharonic, Coptic and Islamic phases. I am looking forward to seeing in Cairo during this meeting. MAIN TOPICS Global and local burden of hypertension. Hypertension and metabolic syndrome. Heart failure and hypertension. Genetic and molecular basis of hypertension. Hypertension and the kidney. Imaging of hypertensive patient. How to assess cardiovascular risk. Psychobehavioural management of hypertension. Hypertension: sexual hypo function. Sleep apnea. Treatment of hypertension in diabetic patient. SCIENTIFIC COMMITTEE M. Mohsen Ibrahim, MD Cairo Universirty Ahmed El-Hawary, MD Hussien Rizk, MD Cairo Universirty Soliman Gharieb, MD Cairo Universirty Wafaa El-Aroussy, MD Cairo Universirty Hossam Kandil, MD Cairo Universirty Sameh Shahien, MD Khaled Sorour, MD Cairo Universirty Gamela M. Nasr, MD Mohamed Oraby, MD Azza El-Eraky, MD Sincerely, Professor of Cardiology- President of the Meeting

3 YOUNG INVESTIGATOR AWARD COMMITTEE Mokhtar Gomaa, MD Sherif El-Tobgy, MD Omar Awwad, MD Samir Abdel Kader, MD Al-Azhar Universirty Cairo Universirty Ain Shams Universirty Assuit University EHS SECRETARIAT Mrs. Rehab Mohamed at the Egyptian Hypertension Society at 1 El-Diwan Street, Garden City, Cairo. Tel.: (202) ; Fax: (202) ; ehs@link.net. CONGRESS ORGANIZATION Mrs. Fathia El-Said 010/ fathiaalsaid@link.net INTERNATIONAL FACULTY (Alphabetically) Adel E. Berbari, MD Professor of Medicine (Nephrology) and Physiology American University of Beirut LEBANON Ahmed Kassebah, MD Head of Endocrinology and Metabolism Winston Medical School US Arun Chockalingam, MD Secretary General, World Hypertension League Professor and Director of Global Health Faculty of Health Sciences Simon Fraser CANADA Badiaa Lyoussi, MD Director UFR : Physiology-Pharmacology President Deputy of Arab Union of Pharmacology Head of Physiology-Pharmacology and environmental Health Laboratory MOROCCO Charles Jazra, MD Saint Joseph's Hospital LEBANON Michael Olivier, MD Associate Professor of Physiology Human and Molecular Genetics Center Medical College of Wisconsin Samir Arnaout, MD Associate Professor of Medicine Department of Internal Medicine, American University of Beirut LEBANON Mostafa Qaid Ahmed Al-Shamiri, MD Director of Coronary Care Unit College of Medicine and King Khalid University Hospital Riyadh, SAUDI ARABIA Osama A. Okkeh, MD Consultant Cardiologist President of the Jordanian Atherosclerosis & Hypertension Society JORDAN Salah El-Din Kassab, MD Prof. of Physiology BAHRAIN

4 Samir Mallat, MD Head of Department of Nephrology and hypertension Hotel Dieu de France, St-Joseph University LEBANON Wael Chalak MD President Lebanese society of cardiology & Cardiac surgery LEBANON Zaher M Kasih, MD Chief interventional Cardiologist, Ibn-Al Haytham Hospital Amman, JORDAN Abdel Fattah Frere, MD Abdel Moaty El-Kaiey, MD Abdel Moniem Ibrahim, MD Abdullah Abou Hashem, MD Abdullah Mostafa, MD Adel Abdel Aziz, MD Adel Allam, MD Adel El-Etriby, MD Adel Zaki, MD Ahmed Abdel Aaty, MD Ahmed Abdellatief Ramadan, MD Ahmed El-Hawary, MD Ahmed El-Kendary, MD Ahmed Magdy, MD Ahmed Nassar, MD FACULTY (ALPHABETICALLY) Zagazieg University Zagazieg University Menofia University Sohag University National Heart Institute Ahmed Roza, MD Ahmed Shafie, MD Ali Seif Maklad, MD Aliaa Abdel Fattah, MD Aly Ramzy, MD Amal Ayoub, MD Ashraf Reda, MD Atef El-Bahry, MD Ayman El-Said, MD Ayman Kaddah, MD Ayman Saleh, MD Aziz Madkour, MD Azza El-Eraky, MD Essam Mahfouz, MD Ezz El-Din El-Sawy, MD Farouk Radwan, MD Fawzia El-Demerdash, MD Fayez Fayek, MD Galal El-Said, MD Gamal Aboul Nasr, MD Gamela M. Nasr, MD Ghada El-Shahed, MD Ghada Sayed, MSc Hamdy El-Sayed, MD Hany Abdel Razek, MD Zagazieg University Menofia University Port Said University Mansoura University Azhar University Mansoura University Mansoura University National Heart Institute National Heart Institute National Heart Institute

5 Hassan Khaled, MD Hassan Khalid, MD Hassan Khalil, MD Hazem Khamis, MD Military Academy Heba Abdel Kader, MD Banha University Helmy Bakr, MD Masoura University Hisham Abol Enien, MD Banha University Hossam Kandil, MD Hussien Rizk, MD Ibrahim El-Ebrashy, MD Ibtehag Hamdy, MD Ikram Sadek, MD Tanta University Ismail Youssef, MD Kamal Mahmoud, MD Khairy Abdel Dayem, MD M. Mohamed El-Feky, MD M. Mohsen Ibrahim, MD Magdy Gomaa, MD Mahmoud Ashraf, MD Diabetologist Mahmoud El-Sherbini, MD Mahmoud Hammouda, MD Azhar University Mahmoud Hassanien, MD Mamdouh El-Ashry, MD Mamdouh Warda, MD Tanta University May Hamdy El-Sayed, MD Medhat Ashmawy, MD Tanta University Mervat Abol Maaty, MD Mesbah Taha, MD Mohamed Abdel Ghany, MD Mohamed Amin, MD Mohamed Hamed Badr, MD Mohamed Oraby, MD Mohamed Sobhy, MD Mohamed Wafie, MD Mokhtar Gomaa, MD Mona El-Rayan, MD Morsy Ameen, MD Mostafa Nawwar, MD Nashwa El-Hagrasy, MD Nasser Taha, MD Nesiem Shabaan, MD Omar Awwad, MD Omar El-Khashab, MD Omneya Nayel, MD Osama Abdel Azeim, MD Osama Abdel Aziz, MD Osama Sanad, MD Raffat Rashwan, MD Ramez Guindy, MD Ramzy El-Mawardy, MD Reda El-Esawy, MD Safwat El-Hawary, MD Zagazieg University Azhar University Tanta University Zagazieg University 6 th October University Menia University Tanta University Tanta University Banha University Zagazieg University Military Hospitals

6 Said Khaled, MD Salwa Roshdi, MD Samir Asad, MD Samir Rafla, MD Samir Said, MD Sanaa Abdel Shafie, MD Sayed Akl, MD Sherif El-Beltagy, MD Sherif El-Tobgy, MD Sherif Hafez, MD Sherif Mokhtar, MD Soliman Gharieb, MD Tarek El-Badawy, MD Tarek Hassan, MD Tarek Khalil, MD Wagdy Ayad, MD Wagdy Galal, MD Yasser Boghdady, MD Yasser Soliman, MD Yasser Sharaf, MD Yehia Kishk, MD Zeinab Ashour, MD Assuit University Assuit University Menofia University Assuit University LANGUAGE The official language of the meeting is English. No simultaneous translation is available. CARRIER The official carrier is Egypt Air. A special discounted fair will be arranged for group reservations. Flights to and from Egypt are usually fully booked this time of the year. Early reservation is advised. ACKNOWLEDGMENT The organizing committee appreciates the generous assistance from the drug industry. Special tribute goes to: MAJOR SPONSORS Solvay Sanofi-aventis SUPPORTING SPONSORS Pfizer BMS Astra Zeneca EPC Multipharma MSD Habib Scientific Office Novartis Servier Boehringer Ingelheim El-Ahram Scientific Office Global Nappi Ramses Hilton Hotel. VENUE A block of rooms has been reserved for the conference attendees at a reduced rate. Please register and reserve early to make use of the reduced rate.

7 WEDNESDAY APRIL 18, :00 16:00 REGISTRATION 9:00 10:00 GUIDELINES: WHICH ONE FITS? CHAIRPERSONS: GALAL AL SAEID, MD, MAHMOUD EL SHERBINI, MD; SALWA ROSHDY, MD; HEBA ABDEL KADER; MD 9:00-9:15 JNC 7 Mohamed Abdel Ghany, MD 9:15-9:30 British guidelines Ahmed Magdy, MD 9:30-9:45 Canadian hypertension education program. Arun Chockalingam, MD 9:45-10:00 Egyptian guidelines. Hussien Rizk, MD 9:00 10:00 MISCELLANEOUS I CHAIRPERSONS: SHERIF EL- TOBGY, MD; AHMED NASSAR, MD; OSAMA SAND, MD; FAROK RADWAN, MD 9:00-9:15 Systolic BP as a predictor of mortality in heart failure Hassan khaled, MD 9:15-9:30 Hypertension and arrhythmia Charles Jazra, MD 9:30-9:45 Atrial fib. and hypertension Wagdy Galal, MD 9:45-10:00 Hypertension in end- stage renal disease Ayman El-Said, MD 10: STATE OF ART LECTURE I CHAIRPERSONS: ALI RAMZY, MD; WAGDY AYAD, MD; MOKHTAR GOMAA, MD 10:00-10:30 Visceral fat as an important risk factor for cardiovascular disease Mohsen Ibrahim, MD 10:30-11:30 OPENING CEREMONY 11:30-13:00 DIABETES CHAIRPERSONS: KHAIRY ABDEL DAYEM, MD; FAWZEIA EL DEMERDASH, MD SAFWAT EL- HAWARY, MD; ABDEL- FATTAH FRERE, MD 11:30-11:50 Systolic hypertension arterial stiffness and pulse wave velocity cardiovascular risk Hossam Kandil, MD 11:50-12:10 Diabetic risk of antihypertensive medications Essam Mahfoz, MD 12:10-12:30 Insulin and hypertension Samir Asad, MD 12:30-12:50 Glitazones (TZD) and cardiovascular risk Mahmoud Ashraf, MD 12:50-13:00 Discussion 11:30-13:00 DRUGS AND HYPERTENSION CHAIRPERSONS: ADEL ABDEL AZIZ, MD; NASSR TAHA, MD; SAID KENDIL, MD; RAMEZ GUINDY, MD 11:30-11:50 Combined ACEIs and ARBs in the treatment of hypertension Adel El-Etriby, MD 11:50-12:10 Should antihypertensive management target both LVH and BP? Mohamed Sobhy, MD 12:10-12:30 Metabolic consequences of antihypertensives, is it clinically important? Atef El-Behary, MD 12:30-12:50 Statins in hypertension Wael Chalac, MD 12:50-13:00 Discussion

8 13:00 14:15 SATELLITE SYMPOSIUM (I) SOLVAY COMPANY TEVETEN SYMPOSIUM CHAIRPERSONS: AHMED ROZA, MD; SHERIF HAFEZ, MD & YASSER SOLIMAN, MD Role of RAAS & sympathetic overactivity in the development oh Hypertension. Zaher Al- Kasih, MD Beyond blood pressure control. Samir Arnaout, MD 14:15-14:45 Break 14:45-15:15 STATE OF ART LECTURE II CHAIRPERSONS: EZZ EL-DIN EL-SAWY, MD; OMNIA NAYEL, MD; IBTEHAG HAMDY, MD 14:45-15:15 Genetics of metabolic syndrome Michael Olivier, MD 15:15-16:30 KIDNEY AND HYPERTENSION CHAIRPERSONS: FAYEZ FAYEK, MD; ABDEL MOETY EL- KEEY, MD;HANY ABDEL RZEK, MD; KAMAL MAHMOUD, MD 15:15-15:30 Clinical Significance of microalbuminuria to the non nephrologist Adel Berbari, MD 15:30-15:45 Deterioration of renal function in a patient with hypertension Osama Abel El- Azeim, MD 15:45-16:00 Functional consequences of renal artery stenosis Omar El- Khashab, MD 16:00-16:15 Atherosclerotic renovascular hypertension. Osama Abel El- Azeim, MD 16:15-16:30 Discussion 15:15-16:30 MISCELLANEOUS CHAIRPERSONS: SHERIF MOKHTAR, MD; MAMDOUH WARDA, MD; HELMY BAKR, MD; HAZEM KHAMIS, MD 15:15-15:30 Drug-induced hypertension Ramzy El- Mawardy, MD 15:30-15:45 Hypertension in kidney donors Ahmed Abdel Latif, MD 15:45-16:00 Erectile dysfunction as an early manifestation of cardiovascular disease Omar Awwad, MD 16:00-16:15 Mechanisms of antihypertensive action of plants used in traditional medicine Badiaa Lyoussi, MD 16:15-16:30 Discussion 16:30-17:30 IMAGING AND HYPERTENSION CHAIRPERSONS: AMAL AYOUB, MD; TAREK BADAWY, MD ALIA ABDEL FATAH, MD; HOSSAM KANDIL, MD 16:30-16:45 Role of tissue Doppler in hypertension Gamela Nasr, MD 16:45-17:00 Functional assessment of myocardial perfusion by gated SPECT Adel Allam, MD 17:00-17:15 Accuracy of different stress modalities in hypertension Aziz Madkour, MD 17:15-17:30 Myocardial perfusion imaging in hypertension Ahmed Abdel Aaty, MD

9 16:30-17:30 BRAIN AND HYPERTENSION CHAIRPERSONS: MOHAMED HAMED BADR, MD; MOSTAFA NAWWAR, MD MOHAMED AMIN ABDOU, MD; MEDHAT EL- ASHMAWY, MD 16:30-16:45 Cognitive aspects of hypertension and anti-hypertensive medications Yasser El-Boghdady, MD 16:45-17:00 Influence of personality and psychological stress on cardiovascular risk Ismail Yousef, MD 17:00-17:15 Behavioral therapy of hypertension Mahmoud Hamouda, MD 17:15-17:30 Management of hypertension during acute stroke 17:30 Lunch

10 THURSDAY APRIL 19, :00-9:30 STATE OF ART LECTURE III CHAIRPERSONS: ALI RAMZY, MD; MOHSEN IBRAHIM, MD FATHY MAKLADY, MD 9:00-9:30 Global burden of hypertension (Canada) Arun Chockalingam, MD 9:30-11:00 DEBATE I CHAIRPERSONS: OSAMA ADEL AZIZ, MD; SAMIR SAID, MD; MOKHTAR GOMAA, MD; REDA AL ESSAWY, MD 9:30-10:10 Renovascvular hypertension: dilate or not dilate? 10:10-10:50 Pre hypertension: treat or not treat? 10:50-11:00 Discussion Ayman Saleh, MD Gamela Nasr, MD Tarek Khalil, MD Medhat Ashmawy, MD 9:30-11:00 BASIC SESSION I CHAIRPERSONS: KHAIRY ABDEL DAYEM, MD; SAMIR RAFLA, MD; HASSAN KHALED, MD; AYMEN KADDAH 11:00-12:00 CLINICAL TRIALS: UPDATE CHAIRPERSONS: RAMZY EL- MAWARDY, MD; SAFWAT EL- HAWARY, MD; HOSSAM KANDIL, MD; SHERIF EL- BELTAGY, MD 11:00-11:15 TROPHY Ayman Kaddah, MD 11:15-11:30 ASCOT Ahmed Shafee, MD 11:30-11:45 DREAM Ahmed El- Hawary, MD 11:45-12:00 INVEST Abdulah Mostafa, MD 11:00-12:00 BASIC SESSION II CHAIRPERSONS: MERVAT ABO EL- MAATY, MD; ALI SEIF MAKLAD, MD, MD; AHMED MAGDY, MD 11:00-11:15 Hemodynamic principles behind pharmacological management of hypertension Abdel monem Ibrahim, MD 11:15-11:30 Do we have gene therapy yet for hypertension? Ibtehag Hamdy, MD 11:30-11:45 J-curve phenomenon: a factor or a myth? Salwa Roshdy, MD 11:45-12:00 Genetics of cardiovascular risk Michael Olivier, MD 9:30-9:50 Hyperhomocystenemia and LVH Salah Kassab, MD 9:50-10:10 Genetic and environmental factors in hypertension Sanaa Abdel Shafy, MD 10:10-10:30 Metabolic Syndrome: debates and controversies Mohamed Oraby, MD 10:30-10:50 Genes network Ahmed Kasseba, MD 10:50-11:00 Discussion

11 12:00-13:00 SATELLITE SYMPOSIUM (II) SANOFI AVENTIS RECENT ADVANCES IN CARDIOVASCULAR MANAGEMENT CHAIR PERSONS: MOHSEN IBRAHEIM, MD; MAHMOUD HASSANIN, MD & MESBAH TAHA, MD Cardiovascular disease continuum beyond blood pressure control Long-term antiplatelet therapy in ACS management. Role of ACE inhibitor in CAD patients 13:00-13: 30 Break 13:30-14:30 SATELLITE SYMPOSIUM (III) SOLVAY COMPANY Omar Awwad, MD Ahmed El-Hawary, MD Hisham Abol Enien, MD PHYSIOTENS MEETING CHAIRPERSONS: SAID KHALED, MD; RAFFAT RASHWAN, MD & OSAMA ABDEL AZEIM, MD Sympathetic overactivity and blood pressure management: new insights Samer Mallat, MD What did ALMAZ say? Mustafa Al-Shemeri, MD 14:45-15:15 State Of Art lecture IV CHAIR PERSONS: FATHY MAKLADY, MD; MOHSEN IBRAHIM, MD; MAMDOUH EL- ASHRY, MD 15:15-16:30 MEET THE EXPERT CHAIRPERSONS: GAMAL ABOL NASR, MD;AZIZ MADKOUR, MD; NESEIM SHAABAN, MD; SAMEH SHAHIEN, MD 15:15-15:30 How to manage postural hypotension? Samir Abdel Kader, MD 15:30-15:45 How to manage sleep apnea? Azza El- Eraky, MD 15:45-16:00 How to manage difficult hypertension? Hany Abdel-Razek, MD 16:00-16:15 How to select initial drug therapy for hypertension Gamal Abol Nasr, MD 16:15-16:30 Discussion 15:15-16:30 METABOLIC SYNDROME CHAIRPERSONS: ALI RAMZY, MD; SAID KHALED, MD MAHMOUD HASSANIEN, MD; ADEL EL- ETRIBY, MD; 15:15-15:30 Role of RAS system in metabolic syndrome Mahmoud Hassanin, MD 15:30-15:45 Management of obesity related hypertension. Sherif Hafez, MD 15:45-16:00 Dyslipidemic hypertension. 16:00-16:15 Endocannabinoid system and cardiometabolic syndrome. Ahmed El- Hawary, MD 16:15-16:30 Discussion 14:45-15:15 Music and medicine Tarek Hassan, MD

12 16:30-17:30 HYPERTENSION IN SPECIAL GROUPS CHAIRPERSONS: FAWZIA EL-DEMERDASH, MD; OMAR AWWAD, MD; NASHWA EL-HAGRASY, MD; IKRAM SADEK, MD 16:30-16:45 Is it difficult to treat elderly hypertensives? Mohamed Oraby, MD 16:45-17:00 Management of pregnant hypertensive, is it different? Zainab Ashor, MD 17:00-17:15 Management of hypertension in children and adolescents. May Hamdy El- Sayed, MD 17:15-17:30 The importance of hypertension in premenopausal women Ikram Sadek, MD 16:30-17:30 SURGERY AND HYPERTENSION CHAIRPERSONS: HAMDY EL- SAYED, MD; MAGDY GOMAA, MD; MAGDY MOSTAFA, MD; SAYED AKL, MD; MOHAMED MOHAMED EL- FEKY, MD 16:30-16:45 Peri-operative evaluation of hypertensive patient 16:45-17:00 Surgical management of aortic coarctation 17:00-17:15 Management of acute Aortic dissection 17:15-17:30 Renal artery stenosis: PTA Vs surgery Said Khaled, MD Morsy Ameen, MD Ahmed El- kerdany, MD Reda El-Essawy, MD 17:30 Lunch

13 FRIDAY APRIL 20, :00-9:30 STATE OF ART LECTURE IV CHAIRPERSONS: MOKHTAR GOMAA, MD; FATHY MAKLADY, MD & OMAR AWWAD, MD Pharmacogenomics and pharmacogenetics, the rood for new therapies. Ahmed Kissebah, MD 9:30-11:00 DEBATE II CHAIRPERSONS: ADEL ZAKI, MD; WAGDY GALAL, MD; SAMIR RAFLA, MD 9:30-10:10 Beta- blockers as initial treatment of hypertension Samir Mallat, MD 10:10-10:30 Why the treatment of hypertension become such a deplorable fiasco? Mesbah Taha, MD 10:30-10:50 Can ARBs reduce both blood pressure and CRP levels? Mohamed Wafie, MD 10:50-11:00 Discussion 9:30-11:00 DIFFERENT WAYS OF MEASUREMENT OF BLOOD PRESSURE CHAIRPERSONS: SOLIMAN GHARIEB, MD; BADIAA LYOUSSI, MD; WAGDY AYAD, MD; ABDULLAH ABO HASHEM, MD 9:30-9:45 New ways of measuring blood pressure Wafaa El- Aroussy, MD 9:45-10:00 Masked hypertension Vs white coat hypertension Soliman Gharieb, MD 10:00-10:15 Value of home blood pressure measurement. Yehia Kishk, MD 10:15-10:30 Hypertension in Jordan: What's new? Osama Okkeh, MD 10:30-10:45 Discussion 11:00-12:00 CASE PRESENTATION CHAIRPERSONS: WAGDY AYAD, MD; AHMED ABDEL- LATIEF, MD; GAMELA NASR, MD 11:00-11:15 Case 1 Mona El- Rayan, MD 11:15-11:30 Case 2 Ghada El-Shahed, MD 11:30-11:45 Case 3 Mohamed Oraby, MD 11:45-12:00 Case 4 Ghada El- Sayed, MD 11:00-12:00 NEW APPROACHES IN MANAGEMENT OF HYPERTENSION CHAIRPERSONS: OSAMA ABDEL-AZIZ, MD; MOHAMED AMIN, MD; AHMED ABDEL ATTY, MD; OSAMA SAND, MD 11:00-11:15 Herbal therapy for hypertension 11:15-11:30 Device therapy for hypertension 11:30-11:45 Role of statins in hypertension 11:45-12:00 Stress management of hypertension 12:00-13:30 BREAK & PRAYER 13:30-14:30 SATELLITE SYMPOSIUM IV BMS CHAIRPERSONS: FATHY MAKLADY, MD Badiaa Lyoussi, MD Azza El-Eraky, MD Ashraf Reda, MD Yasser Sharaf, MD 13:30-14:15 The Changing Landscape of Hypertension- Guidelines for Guideline Writers, When is The Time Hussien Rizk, MD 14:15-14:30 Discussion & Closing Remarks 14:30 Lunch

Egyptian Hypertension Society The 8th Annual Scientific Meeting

Egyptian Hypertension Society The 8th Annual Scientific Meeting APRIL 7-9, 2004 PRESIDENTIAL GUARDS CLUB نادي الحرس الجمهوري شارع صلاح سالم- بجوار عمارات العبور Chairman of the Conference President of