Stretching out

Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This patient has presented with florid symptoms of heart failure (HF), with the history hinting at progressive deterioration of cardiac function over a period of months. Examination reveals an irregularly irregular pulse suggestive of atrial fibrillation, and pansystolic murmurs over the apex and left sternal edge compatible with mitral and tricuspid regurgitation. Considered together, this constellation of symptoms is suspicious of dilated cardiomyopathy (DCM).","attributes":{"color":"#000000","background":"transparent"}},{"insert":"\n\n","attributes":{"align":"justify"}},{"insert":"The ECG confirms atrial fibrillation. Echocardiography demonstrates dilation of all cardiac chambers, with normal chamber wall thickness; globally reduced cardiac contractility; and a left ventricular ejection fraction (LVEF) of only 29%. This is DCM indeed, complicated by heart failure with reduced ejection fraction (HFrEF).","attributes":{"color":"#000000","background":"transparent"}}]}

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