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- W2120142889 abstract "R c a C ( v s Diseases, Mayo Clinic, Rochester, MN (W.K.F.). A 95-year-old woman presented with sudden-onset dyspnea of 4 hours’ duration, which was soon followed by respiratory failure requiring high-flow supplemental oxygen. She denied having chest pain, back pain, or palpitations. She had completed a course of amoxicillin 2 months previously for acute sinusitis and had no residual symptoms. Results of a complete review of systems were otherwise unremarkable. Her medical history was notable for systemic hypertension, pulmonary hypertension, chronic severe mitral regurgitation related to degenerative mitral valve disease with prolapse, and moderate functional tricuspid regurgitation. She had no personal history of coronary artery disease or congestive heart failure. Medications included amlodipine, atenolol, chlorthalidone, fluticasone, and dicyclomine. On arrival at the emergency department her vital signs were as follows: blood pressure, 194/110 mm Hg; pulse, 137 beats/min; temperature, 36.5°C; respiratory rate, 36 breaths/min; and oxygen saturation while receiving 15 L of oxygen per minute by closed face mask, 91%. She had markedly increased work of breathing. Cardiovascular examination demonstrated jugular venous distention to the ear with a prominent v wave, irregularly irregular tachycardia, right ventricular lift without thrill, an S3 gallop at the apex, a blowing holosystolic murmur appreciated throughout the precordium, and 2 mm of pitting edema of the mid shins bilaterally. Pulmonary examination revealed coarse crackles throughout the basilar half of both lung fields. Abdominal, musculoskeletal, neurologic, and integument findings were unremarkable. Chest radiography demonstrated the new findings of pulmonary venous congestion and bilateral effusions." @default.
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- W2120142889 date "2012-06-01" @default.
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- W2120142889 title "95-Year-Old Woman With Sudden-Onset Dyspnea" @default.
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- W2120142889 doi "https://doi.org/10.1016/j.mayocp.2012.03.007" @default.
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