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Heart. 2018 Nov;104(22):1887-1890. doi: 10.1136/heartjnl-2018-313413. Epub 2018 Aug 9.

Eighty-two-year-old man with a systolic murmur.

Author information

1
Department of Medicine Division of Cardiology, Henry Ford Hospital Heart and Vascular Institute, Detroit, Michigan, USA.

Abstract

CLINICAL INTRODUCTION:

An 82-year-old man with a history of coronary artery bypass surgery, hypertension and small bowel gastrointestinal stromal tumour underwent cardiac risk evaluation prior to surgical resection of his tumour. He was asymptomatic from a cardiovascular perspective, but his activity level was less than four metabolic equivalents. Physical examination was notable for a 2/6 systolic murmur at the apex. ECG showed sinus rhythm. A transthoracic echocardiogram was performed (figure 1 and online supplementary video 1).DC1SP110.1136/heartjnl-2018-313413.supp1Supplementary file 1 heartjnl;104/22/1887/F1F1F1Figure 1Transthoracic echocardiography. (A) Mitral valve continuous wave Doppler and (B) tricuspid valve continuous wave Doppler.

QUESTION:

The findings in figure 1 are most likely due to which of the following?Atrioventricular conduction block.Acute severe aortic regurgitation.Patent ductus arteriosus.Atrial flutter.Severe mitral stenosis.

KEYWORDS:

echocardiography; valvular heart diseas

PMID:
30093546
DOI:
10.1136/heartjnl-2018-313413
[Indexed for MEDLINE]

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