Case 41

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 41

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A 72-year-old lady presented to the medical take with a 3-week history of a cough productive of green sputum and recent breathlessness. She had been treated with two courses of oral antibiotics by her GP but had not responded. Over the last 4 days she had suffered from night sweats and rigors. Over the last 24 hours she had become breathless at rest and had developed peripheral oedema. She had been sleeping in a chair for the last 3 nights. She had diabetes and hypertension treated with gliclazide (80 mg twice daily) and ramipril (5 mg daily), respectively. She had had a biological aortic valve replacement with coronary artery bypass grafts when she presented with breathlessness and syncope 5 years prior to this admission.

Chapter.  1978 words.  Illustrated.

Subjects: Cardiovascular Medicine

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