Echocardiography Quiz

  • C.G. Kyriakakis Division of Cardiology, Department of Internal Medicine, University of Stellenbosch and Tygerberg Academic Hospital
  • R. Brauns Division of Cardiology, Department of Internal Medicine, University of Stellenbosch and Tygerberg Academic Hospital
  • B.J. Barnard Division of Cardiothoracic Surgery, Department of Surgery, University of Stellenbosch and Tygerberg Academic Hospital
  • A.F. Doubell Division of Cardiology, Department of Internal Medicine, University of Stellenbosch and Tygerberg Academic Hospital
  • P.G. Herbst Division of Cardiology, Department of Internal Medicine, University of Stellenbosch and Tygerberg Academic Hospital

Abstract

A 65-year-old female patient presented to our medical emergency department with dyspnoea at rest due to acute pulmonary oedema without chest pain. She had been treated for an acute coronary syndrome with transient STelevation
in the infero-lateral leads 12 days prior to this admission. Angiography on her initial admission revealed a chronic total occlusion of her left circumfl ex artery and a reperfused, non-obstructive lesion of the right coronary artery that was treated medically. Examination revealed a pulse rate of 115 bpm and BP 70/45mmHg and no murmurs were audible over the precordium. She required invasive ventilatory support for her pulmonary oedema.
Published
2017-04-05
Section
Echocardiography Quiz