Weight Loss, Fatigue, Increasing Dyspnea, and Leg Edema
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
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
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
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
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
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
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
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
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….
Atrial Fibrillation and Shortness of Breath
Atrial Fibrillation and Shortness of Breath A 42-year-old woman had her first episode of atrial fibrillation 3 years ago. Over the last year, she developed symptoms of fatigue and shortness…
