Case 27

Rajkumar Rajendram, Javed Ehtisham and Colin Forfar

in Oxford Case Histories in Cardiology

Published on behalf of Oxford University Press

Published in print March 2011 | ISBN: 9780199556786
Published online November 2012 | e-ISBN: 9780191753305 | DOI:

Series: Oxford Case Histories

Case 27

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A 48-year-old man was referred to the medical registrar on call with a 5-day history of gradually increasing breathlessness on minimal exertion and ankle swelling. The onset of the symptoms had coincided with his stopping smoking. Six months before, he had developed a chronic dry cough. His current exercise tolerance was less than 50 yards and he had lost over 10 kg in weight over 3 months. He had been dieting but also reported loss of appetite. Treatment with inhaled salbutamol and becotide, several courses of oral antibiotics, and furosemide (20 mg daily) had failed to improve the symptoms.

Chapter.  2409 words.  Illustrated.

Subjects: Cardiovascular Medicine

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