Pulmonary vein Doppler flow in a patient with fatigue and dyspnoea

Authors

Jasneet K. Devgun, Henry Ford HealthFollow
Tharwat Nasser, Henry Ford HealthFollow
James C. Lee, Henry Ford HealthFollow

Recommended Citation

Devgun JK, Nasser T, and Lee J. Pulmonary vein Doppler flow in a patient with fatigue and dyspnoea. Heart 2022; 108(12):931-988.

Document Type

Article

Publication Date

5-25-2022

Publication Title

Heart (British Cardiac Society)

Abstract

CLINICAL INTRODUCTION: A woman in her 80s with a medical history of uncontrolled hypertension, hyperlipidaemia and diet-controlled pre-diabetes presented to a primary care physician’s office with fatigue and dyspnoea on exertion of 2–3 months’ duration. The patient reported no chest pain, paroxysmal dyspnoea or orthopnoea. Medications included atenolol 50mg once a day. Blood pressure in the clinic was 158/75mm Hg. An echocardiogram was performed.

QUESTION: Which of the following explains the pulmonary vein pulsed wave Doppler flow signal, as shown in figure 1?

A. Blunting of systolic flow due to severe mitral regurgitation

B. Atrioventricular conduction block

C. Normal Doppler flow pattern

D. Restrictive diastolic filling of the left ventricle

Comments

For answer see page 988.

Medical Subject Headings

Blood Flow Velocity; Dyspnea; Echocardiography, Doppler, Color; Echocardiography, Doppler, Pulsed; Fatigue; Humans; Pulmonary Veins

PubMed ID

35613734

Volume

108

Issue

12

First Page

931

Last Page

988