TY - CHAP M1 - Book, Section TI - Heart Failure with Preserved Ejection Fraction A1 - Nanayakkara, Shane A1 - Kaye, David A2 - Baliga, R. R. A2 - Abraham, William T. Y1 - 2018 N1 - T2 - Color Atlas and Synopsis of Heart Failure AB - A 69-year-old woman was referred to by her local medical practitioner with worsening exertional dyspnea (NYHA III). She found difficulty mobilizing to her mailbox (120 m on a flat surface), as well as doing light housework and dressing. Her background history is relevant for long-standing hypertension (HTN), dyslipidemia, obesity, stage 3 renal impairment, and paroxysmal atrial fibrillation. Her medication profile is listed in Table 6-1. Physical examination revealed a well-looking woman with a blood pressure of 155/80 mm Hg on both arms, a heart rate of 72 in a regular rhythm, and respiratory rate of 20. Anthropomorphic measurements were a height of 162 cm and weight of 84 kg, with a calculated body mass index (BMI) of 32 kg/m2. Precordial examination revealed the apex beat to be nondisplaced, with no palpable heaves or thrills. No murmurs were auscultated. The jugular venous pressure was estimated at 2 cm, and there was trace pedal edema. The remainder of the physical examination was normal. The electrocardiogram (ECG) confirmed sinus rhythm, with features of left ventricular hypertrophy (LVH) and left axis deviation. Chest radiography demonstrated clear lung fields and borderline cardiomegaly. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/23 UR - accesscardiology.mhmedical.com/content.aspx?aid=1161015536 ER -