Dyspnoea on exertion in a 15-year-old boy
| Autor: | Sajeev C G, Rakesh K. Jain, Kader Muneer |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Physical Exertion Cardiac apex Diagnosis Differential Left axilla Parasternal short axis view Internal medicine medicine Humans Medical history Exertion Cardiac Surgical Procedures Levine scale business.industry Mitral Valve Insufficiency Echocardiography Doppler Color body regions Blood pressure Dyspnea Treatment Outcome cardiovascular system Cardiology Mitral Valve Cardiology and Cardiovascular Medicine business Apical four chamber view Heart Auscultation |
| Zdroj: | Heart (British Cardiac Society). 101(18) |
| ISSN: | 1468-201X |
| Popis: | A 15-year-old male patient presented with dyspnoea on exertion for 6 months. He had no significant medical history. His blood pressure and pulse rate were within normal limits. Cardiac auscultation revealed a grade 4/6 (Levine scale) high-frequency pansystolic murmur over the cardiac apex conducting to left axilla as well as to base of the heart. Haematological and biochemical evaluation including 12-lead ECG were within normal limits. Chest X-ray showed mild cardiomegaly. Transthoracic echocardiography (TTE) with colour Doppler imaging was done (figure 1). Figure 1 (A) Transthoracic echocardiography (TTE) with colour Doppler, apical four chamber view, (B) 2D TTE, parasternal short axis view and (C) TTE with colour Doppler, parasternal short axis view. Which of the following is the most likely diagnosis? 1. Complete … |
| Databáze: | OpenAIRE |
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