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 2024/10/10 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.