Case 026 - Young Women With Dyspnea and Pulmonary Hypertension
Case 026 - Young Women With Dyspnea and Pulmonary Hypertension
A 38-year-old female who was diagnosed with a "not specified" heart defect at birth presents with progressive exertional dyspnea. Although free of symptoms during childhood, her physical development was delayed. Now she is unable to climb even half a flight of stairs (NYHA class III).
On physical exam the patient is acyanotic, with blood pressure of 105/60 mm Hg and a heart rate of 96 beats/min. A murmur is heard throughout the cardiac cycle. The ECG shows sinus rhythm, right axis deviation, tall p waves, and right ventricular hypertrophy. Laboratory findings are normal.
The following statement is true:
View the correct answer.
<p>Patent ductus arteriosus (PDA).</p>
A 38-year-old female who was diagnosed with a "not specified" heart defect at birth presents with progressive exertional dyspnea. Although free of symptoms during childhood, her physical development was delayed. Now she is unable to climb even half a flight of stairs (NYHA class III).
On physical exam the patient is acyanotic, with blood pressure of 105/60 mm Hg and a heart rate of 96 beats/min. A murmur is heard throughout the cardiac cycle. The ECG shows sinus rhythm, right axis deviation, tall p waves, and right ventricular hypertrophy. Laboratory findings are normal.
The following statement is true:
Aortopulmonary window.
Severe pulmonary regurgitation.
Patent ductus arteriosus (PDA).
Coronary artery fistula (left coronary artery to pulmonary artery).
View the correct answer.
<p>Patent ductus arteriosus (PDA).</p>