New onset dyspnoea at 82 years
- 1Cardiology Department, Eugene Clinic, S K Selvam Hospital, Mettupalayam, India
- 2Cardiology Department, PSG Institute of Medical Sciences & Research, Coimbatore, Tamil Nadu, India
- 3Obstetrics & Gynaecology Department, S K Selvam Hospital, Mettupalayam, India
- 4Family medicine Department, S K Selvam Hospital, Mettupalayam, Tamil Nadu, India
- Correspondence to Dr Arunkumar Panneerselvam, drparun1976{at}gmail.com
Description
A 82-year-old woman with sedentary lifestyle presented with New York Heart Association Class IV dyspnoea and orthopnoea of 1 day duration. Clinical examination was unremarkable except for bilateral basal crepitations. There was no murmur on auscultation. Her baseline investigations including blood sugar, urea, creatinine and calcium were normal. Chest x-ray showed pulmonary venous hypertension. Echocardiogram revealed extensive calcification of mitral annulus which caused severe left ventricular (LV) inflow obstruction with gradient of 37/17 mm Hg (figure 1A,B; video 1). In …
