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An 80-year-old patient complained of 1 week history of progressive exertional dyspnoea. The patient had a traumatic right pubic ramus fracture following a fall a month before admission. On clinical examination, there was evidence of right heart failure. The electrocardiogram demonstrated normal sinus rhythm with rate of 80 beats/min and an old anterior infarct. The chest radiograph was unremarkable. Transthoracic echocardiography showed a …
Competing interests None.
Provenance and peer review Not commissioned; not externally peer reviewed.
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