Case 28

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 28

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A 70-year-old woman with type 2 diabetes mellitus was referred to a respiratory clinic with a 2-year history of increasing dyspnoea. Although her symptoms had improved with furosemide 40 mg once daily, she remained short of breath on climbing one flight of stairs or walking 50 m on level ground. She had 5 pillow orthopnoea, but denied paroxysmal nocturnal dyspnoea. Examination revealed raised venous pressure, AF with controlled ventricular rate, a right-sided pleural effusion, a palpable liver edge, and pitting oedema of the ankles.

Chapter.  2560 words.  Illustrated.

Subjects: Cardiovascular Medicine

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