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A patient presenting with acute heart failure: A dilemma of diagnosis
Acute dyspnea is a major complaint of patients admitted to cardiology and emergency departments (ED). Acute dyspnea can be life-threatening, and is seen in cases of asthma, pulmonary embolism, acute heart failure and myocardial infarction. The present case is that of a 32-year-old man admitted to th...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kare Publishing
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5175080/ https://www.ncbi.nlm.nih.gov/pubmed/28058388 http://dx.doi.org/10.14744/nci.2015.10337 |
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author | Kaya, Adnan Aydin, Berat Arikan Oz, Ahmet Bozbeyoglu, Emrah Eren, Mehmet |
author_facet | Kaya, Adnan Aydin, Berat Arikan Oz, Ahmet Bozbeyoglu, Emrah Eren, Mehmet |
author_sort | Kaya, Adnan |
collection | PubMed |
description | Acute dyspnea is a major complaint of patients admitted to cardiology and emergency departments (ED). Acute dyspnea can be life-threatening, and is seen in cases of asthma, pulmonary embolism, acute heart failure and myocardial infarction. The present case is that of a 32-year-old man admitted to the ED with orthopnea position and agitation. Physical examination, electrocardiogram (ECG), transthoracic echocardiogram (TTE), contrast-enhanced computed tomography (CECT) of thorax and coronary angiography (CAG) helped to rule out chest disease pathologies such as pneuomo-thorax, pulmonary embolism and coronary artery disease, but were not enough to make an appropriate diagnosis in this case. Because of high pretest probability of aortic dissection, transesophageal echocardiography (TEE) was performed and a diagnosis of Stanford type A dissection closing left main coronary artery (LMCA) ostia from beat to beat was made. |
format | Online Article Text |
id | pubmed-5175080 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Kare Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-51750802017-01-05 A patient presenting with acute heart failure: A dilemma of diagnosis Kaya, Adnan Aydin, Berat Arikan Oz, Ahmet Bozbeyoglu, Emrah Eren, Mehmet North Clin Istanb Case Report Acute dyspnea is a major complaint of patients admitted to cardiology and emergency departments (ED). Acute dyspnea can be life-threatening, and is seen in cases of asthma, pulmonary embolism, acute heart failure and myocardial infarction. The present case is that of a 32-year-old man admitted to the ED with orthopnea position and agitation. Physical examination, electrocardiogram (ECG), transthoracic echocardiogram (TTE), contrast-enhanced computed tomography (CECT) of thorax and coronary angiography (CAG) helped to rule out chest disease pathologies such as pneuomo-thorax, pulmonary embolism and coronary artery disease, but were not enough to make an appropriate diagnosis in this case. Because of high pretest probability of aortic dissection, transesophageal echocardiography (TEE) was performed and a diagnosis of Stanford type A dissection closing left main coronary artery (LMCA) ostia from beat to beat was made. Kare Publishing 2016-04-04 /pmc/articles/PMC5175080/ /pubmed/28058388 http://dx.doi.org/10.14744/nci.2015.10337 Text en Copyright: © Istanbul Northern Anatolian Association of Public Hospitals http://creativecommons.org/licenses/by-nc-sa/4.0 This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License |
spellingShingle | Case Report Kaya, Adnan Aydin, Berat Arikan Oz, Ahmet Bozbeyoglu, Emrah Eren, Mehmet A patient presenting with acute heart failure: A dilemma of diagnosis |
title | A patient presenting with acute heart failure: A dilemma of diagnosis |
title_full | A patient presenting with acute heart failure: A dilemma of diagnosis |
title_fullStr | A patient presenting with acute heart failure: A dilemma of diagnosis |
title_full_unstemmed | A patient presenting with acute heart failure: A dilemma of diagnosis |
title_short | A patient presenting with acute heart failure: A dilemma of diagnosis |
title_sort | patient presenting with acute heart failure: a dilemma of diagnosis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5175080/ https://www.ncbi.nlm.nih.gov/pubmed/28058388 http://dx.doi.org/10.14744/nci.2015.10337 |
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