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Role of multimodality imaging in a case of heart failure with preserved ejection fraction
  1. Akash Batta1,
  2. Ganesh Kasinadhuni1,
  3. Manphool Singhal2,
  4. Pankaj Malhotra3,
  5. Rajesh Vijayvergiya1
  1. 1Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  3. 3Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Professor Rajesh Vijayvergiya, Cardiology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India; rajeshvijay999{at}hotmail.com

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A man in his 80s with hypertension presented with progressive shortness of breath and pitting oedema of lower limbs from the last 6 months. He was admitted twice to an outside hospital for the illness and was treated for congestive heart failure. Coronary angiography performed outside showed normal epicardial coronaries. Following admission in the emergency room at our institute, his clinical examination revealed an irregular pulse of ~100/min, pulse deficit of 20 beats/min, blood pressure of 130/70 mm Hg and systemic oxygen saturation of 95% on room air. He had raised jugular venous pressure with a prominent V wave. Cardiac examination revealed a pansystolic murmur of tricuspid regurgitation. Chest examination revealed bilateral basal crepitations. The rest of the systemic examination was normal. An ECG showed …

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Footnotes

  • Twitter @DrRajeshVijay

  • Contributors AB—patient management, investigation and original draft preparation. GK—supervision, reviewing and editing. MS—investigation, reviewing and editing. PM—patient management, supervision, reviewing and editing. RV—patient management, supervision, reviewing and editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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