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  - 2024/10/10
UR  - accesscardiology.mhmedical.com/content.aspx?aid=1160206184
ER  -