WelcomeJuly 12, 2020    

Today's  Poll

Elevated preprocedural CRP is not associated with increased risk for CI-AKI in patients undergoing PCI
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Relateed Articles
2D Echo
Case Title: A 40 year old male presented with dyspnoea and fatigue from 3 months.
Case History: A 40 year male patient with no previous history of cardiac disease presented with rapid symptomatic deterioration (dyspnea and fatigue) over 2-3 months.And has shortness of breath with mild exertion (NYHA 3). He was a chronic smoker and has a history of"Polycythemia rubra vera" incorrectly diagnosed 18 months earlier treated with regular phlebotomy.
He's taken allopurinol for gout for two years.Pulse 100/minute; BP 140/95 mmHg.
Moderate cyanosis and clubbing of fingers and toes (saturation 70%)
JVP normal, no edema. Mild RV lift. Loud single second sound. Early systolic sound. Grade 2 ejection systolic murmur LSB.

Click on the image to view movie/enlarged image
Parasternal long axis view showing the left ventricle appearing normal in size and function . A large ventricular septal defect is clearly visible. The aortic and mitral valves appear normal. Click here to view movie
Parasternal long axis view color doppler showing bi-directional flow across the ventricular septal defect is visualised. Click here to view movie