Diabetes, Hypertension, and Hypercholesterolemia A 54-year-old man has diabetes, hypertension, and hypercholesterolemia. He complains of dyspnea on exertion and has limited his activities. A stress test showed no evidence of…
Weight Loss, Fatigue, Increasing Dyspnea, and Leg Edema A 54-year-old man has suffered from weight loss and fatigue for 3 to 6 months and increasing dyspnea for 6 weeks. Leg…
Aortic Valve Replacement after Endocarditis A 52-year-old man has a past history of bioprosthetic aortic valve replacement secondary to aortic valve endocarditis. He now presents to the hospital with 2…
Familial Hyperlipidemia and Exertional Chest Pain A 52-year-old woman with familial hyperlipidemia complains of exertional chest pain but walks 2 to 5 miles daily without difficulty. She is feeling depressed…
Closure of Patent Foramen Ovale A 52-year-old woman had a closure of a patent foramen ovale (PFO) with a 30-mm Helex septal occluder (W. L. Gore & Associates, Flagstaff, Arizona)…
Antiphospholipid Antibody Syndrome A 50-year-old woman with a history of antiphospholipid antibody syndrome, a history of ST segment elevation (Q wave) myocardial infarction involving the left anterior descending artery, history…
Jugular Venous Distension, Tachycardia, and Borderline Hypotension A 48-year-old man complains of shortness of breath and fatigue. He has jugular venous distension, tachycardia (heart rate of 108 to 124 beats…
Preparation for Kidney Donation A 48-year-old healthy man is referred for a stress echocardiogram in preparation for kidney donation. A mass is noted in the right atrium moving between the…
Atrial Fibrillation, Dyspnea with Heavy Exertion The patient is a 47-year-old man with a history of atrial fibrillation. Eleven months prior to the transthoracic echocardiogram, he underwent a prolonged atrial…
Transient Ischemic Attack A 44-year-old woman suffered from a transient ischemic attack 2 years ago. An echocardiogram revealed a patent foramen ovale (PFO) in association with an atrial septal aneurysm….
