TY - CHAP M1 - Book, Section TI - Diastolic Heart Failure A1 - Kahwash, Rami A1 - Reynolds, Adam A2 - Baliga, R. R. A2 - Lilly, Scott M. A2 - Abraham, William T. PY - 2018 T2 - Color Atlas and Synopsis of Interventional Cardiology AB - A 71-year-old woman with a history of longstanding hypertension, diabetes mellitus, and obesity presents for evaluation of dyspnea on exertion. Her symptoms started about 3 years ago and gradually worsened over the past 2 years. She reports shortness of breath with mild physical activities, such as climbing less than 1 flight of stairs, and even with walking only few steps carrying her laundry basket. She sleeps on 2 pillows and reports occasional bilateral ankle edema. She denies resting or exertional chest pain. A 12-lead electrocardiogram demonstrated normal sinus rhythm, mild left ventricular hypertrophy, and nonspecific ST changes. A transthoracic echocardiogram showed mild left ventricular concentric hypotrophy with preserved ejection fraction (65%). Mitral inflow Doppler parameters were normal, with septal annual E′ velocity of 8 cm/s. Her right ventricular function was normal, with a resting right ventricular systolic pressure of 37 mm Hg. Pulmonary function test demonstrated mild restrictive pattern. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/13 UR - accesscardiology.mhmedical.com/content.aspx?aid=1160206184 ER -