Statistics from Altmetric.com
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 …
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.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.