Shortness of Breath and Palpitations
Shortness of Breath and Palpitations A 67-year-old man complains of shortness of breath and palpitations. He had robotic mitral valvular surgery 1 year ago. Figure 55-1. Figure 55-2. QUESTION 1….
Percutaneous Coronary Intervention and Stenting
Percutaneous Coronary Intervention and Stenting A 65-year-old woman with a history of coronary artery disease, prior coronary artery bypass graft 13 years ago, and coronary angioplasty with stent placement twice…
Congestive Heart Failure with a Biventricular Pacemaker
Congestive Heart Failure with a Biventricular Pacemaker A 65-year-old woman with congestive heart failure and a biventricular pacemaker had two hospitalizations for heart failure in the past 6 months. She…
Obesity and Dyspnea on Exertion
Obesity and Dyspnea on Exertion A 65-year-old obese woman gets admitted to the hospital with complaints of shortness of breath and dyspnea on exertion. Figure 51-1. Transthoracic four-chamber view. Figure…
Upper Respiratory Complaints
Upper Respiratory Complaints A 65-year-old woman presents to her primary care physician with upper respiratory complaints. She later develops progressively worsening dyspnea on exertion and cough. She is treated with…
Cirrhosis of the Liver and Myocardial Infarction
Cirrhosis of the Liver and Myocardial Infarction A 65-year-old man from Uruguay has a history of cirrhosis of the liver and a prior myocardial infarction. The echocardiogram (Videos 50-1 to…
Bioprosthetic Mitral Valve Replacement
Bioprosthetic Mitral Valve Replacement A 65-year-old man had a bioprosthetic mitral valve (MV) replacement 6 years ago. He now presents with worsening congestive heart failure (CHF). A transesophageal echocardiogram is…
Degenerative Mitral Regurgitation
Degenerative Mitral Regurgitation A 63-year-old woman with dyspnea on exertion is diagnosed with degenerative mitral regurgitation due to a myxomatous mitral valve. She is referred for mitral valve surgery, and…
Mitral Valve Replacement and Hypotension
Mitral Valve Replacement and Hypotension The patient is a 62-year-old man who underwent mitral valve replacement. Six hours after returning to the intensive care unit, he develops hypotension with a…
Pulmonary Edema and End-Stage Renal Disease
Pulmonary Edema and End-Stage Renal Disease A 61-year-old woman with New York Heart Association classification class III heart failure has a history of pulmonary edema and end-stage renal disease. She…
