{"id":561348,"date":"2024-03-22T09:21:57","date_gmt":"2024-03-22T13:21:57","guid":{"rendered":"https:\/\/platohealth.ai\/platowire\/dyspnoea-dizziness-and-dysrhythmia-in-a-middle-aged-patient-renal-platohealth-ai\/"},"modified":"2024-03-23T21:30:23","modified_gmt":"2024-03-24T01:30:23","slug":"dyspnoea-dizziness-and-dysrhythmia-in-a-middle-aged-patient-renal-platohealth-ai","status":"publish","type":"platowire","link":"https:\/\/platohealth.ai\/platowire\/dyspnoea-dizziness-and-dysrhythmia-in-a-middle-aged-patient-renal-platohealth-ai\/","title":{"rendered":"Dyspnoea, Dizziness And Dysrhythmia In A Middle-aged Patient – Renal.PlatoHealth.ai"},"content":{"rendered":"
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A middle-aged patient with no prior comorbidities presented to the emergency department with a sudden onset of palpitations, dizziness and progressive dyspnoea. History was negative for any cardiac disorders in the past. On examination, the pulse rate was around 190 beats\/min with a systolic blood pressure of 80 mm Hg. ECG at presentation was suggestive of ventricular tachycardia (VT) (figure 1
A). Resuscitation with urgent cardioversion in view of haemodynamic instability with wide complex tachycardia was done. Following cardioversion to sinus rhythm, examination revealed a soft first heart sound with a prominent pansystolic murmur. Laboratory evaluation revealed electrolytes, haematological profile, renal and liver panel to be within normal limits.<\/p>\n

N-terminal pro Brain Natiuretic Peptide(NT-proBNP)(ECLIA, Roche) was elevated at 1360 pg\/mL. The chest X-ray showed an enlarged left cardiac border with calcification. The two-dimensional (2D) transthoracic echocardiogram revealed left ventricular ejection fraction of 40%. The 2D echocardiogram and cardiac CT images are shown below (figure 1B\u2013D and online supplemental video 1).<\/p>\n

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Supplementary video<\/h3>\n

\n[heartjnl-2023-323787supp002.mp4]\n<\/p>\n<\/div>\n

N -terminal pro Brain Natiuretic Peptide(NT-proBNP)(ECLIA, Roche) was elevated at 1360 pg\/mL. The chest X-ray showed an enlarged \u2026 <\/p>\n