Family History of Sudden Cardiac Death
Family History of Sudden Cardiac Death A 35-year-old woman with a family history of sudden cardiac death comes for cardiac evaluation (Videos 15-1 to 15-5 and Figs. 15-1, 15-2, 15-3…
End-stage Renal Disease on Hemodialysis
End-stage Renal Disease on Hemodialysis The patient is a 35-year-old woman who has a significant past medical history of end-stage renal disease on hemodialysis through a PermCath (Covidien, Mansfield, Massachusetts)…
Congenital Heart Disease
Congenital Heart Disease A 34-year-old woman is referred for evaluation for congenital heart disease. Figure 14-1A. Figure 14-1B. Figure 14-1C. QUESTION 1. Based on the image provided (Fig. 14-1), the…
AIDS and Pneumocystis Pneumonia
AIDS and Pneumocystis Pneumonia A 34-year-old woman with AIDS and a history of Pneumocystis pneumonia presents with shortness of breath and hemoptysis. She is hypoxic and hypotensive on presentation. See…
Shortness of Breath and Dyspnea on Exertion
Shortness of Breath and Dyspnea on Exertion A 33-year-old man from India complains of shortness of breath and dyspnea on exertion (DOE) walking one to two blocks. On an exercise…
Dyspnea on Exertion
Dyspnea on Exertion A 32-year-old man complains of dyspnea on exertion. He also has acroparathesias, anhidrosis, and normal blood pressure. His father has renal disease. His electrocardiogram (Fig. 10-1) and…
Marfan Syndrome
Marfan Syndrome A 32-year-old man with Marfan syndrome has a screening transthoracic echocardiogram performed (Fig. 11-1). Figure 11-1. QUESTION 1. At what diameter should a patient with Marfan syndrome be…
Left-Sided Hemiparesis
Left-Sided Hemiparesis A 31-year-old woman presented with sudden onset of left-sided hemiparesis. A cardiogenic embolic stroke was suspected and transthoracic echocardiography was performed; Video 9-1 and Figure 9-1 show a…
Atrial Fibrillation
Atrial Fibrillation A 30-year-old man with atrial fibrillation presents with the echocardiogram in Video 8-1. QUESTION 1. What is his underlying congenital abnormality? A. Ebstein’s anomaly B. Tetralogy of Fallot…
Episode of Hemoptysis
Episode of Hemoptysis A 28-year-old man with a history of childhood surgery for congenital heart disease presents following an episode of hemoptysis. He reports a mild decline in his exercise…
