Eighty-two-year-old man with a systolic murmur
Recommended Citation
Kupsky DF, Ananthasubramaniam K, Lee J. Eighty-two-year-old man with a systolic murmur. Heart. 104(22):1887-1890.
Document Type
Article
Publication Date
11-1-2018
Publication Title
Heart (British Cardiac Society)
Keywords
Aged, 80 and over, Atrioventricular Block, Echocardiography, Doppler, Color, Electrocardiography, Heart Rate, Humans, Male, Predictive Value of Tests, Systolic Murmurs
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.
Medical Subject Headings
Aged, 80 and over; Atrioventricular Block; Echocardiography, Doppler, Color; Electrocardiography; Heart Rate; Humans; Male; Predictive Value of Tests; Systolic Murmurs
PubMed ID
30093546
Volume
104
Issue
22
First Page
1887
Last Page
1890
