Sudden 2

Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This young woman has presented with exertional dyspnea of acute onset, while her examination shows ankle edema, an elevated JVP, bibasal lung crackles, cardiomegaly and a gallop rhythm. These clinical findings indicate the presence of acute heart failure.\n\nHeart failure in young patients is most frequently due to congenital heart disease. Most of the remaining cases are related to poor myocardial function, usually due to either myocarditis or dilated cardiomyopathy. Coronary artery disease is rare in patients of this age.\n\nIn this patient, the history of a recent upper respiratory tract infection raises the suspicion of viral myocarditis. Another possibility is decompensation of pre-existing cardiac disease due to the infection.\n\nHer ECG sh"}]}

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