RT Book, Section
A1 Kahwash, Rami
A1 Reynolds, Adam
A2 Baliga, R. R.
A2 Lilly, Scott M.
A2 Abraham, William T.
SR Print(0)
ID 1160206184
T1 Diastolic Heart Failure
T2 Color Atlas and Synopsis of Interventional Cardiology
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749350
LK accesscardiology.mhmedical.com/content.aspx?aid=1160206184
RD 2024/04/24
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.