Transoesophageal three-dimensional echocardiographic diagnosis of Barlow’s disease
- 1 Department of Cardiology, The American British Cowdray Medical Center, Mexico, Mexico City, Mexico
- 2 Department of Echocardiography, The American British Cowdray Medical Center, Mexico, Mexico City, Mexico
- 3 Department of Echocardiography, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico, Mexico City, Mexico
- Correspondence to Dr Julio Cesar Sauza Sosa,
- Accepted 3 April 2017
- Published 20 April 2017
A 67-year-old man with a year history of palpitations and dyspnoea presented to the physician’s office. His blood pressure was 140/80 mm Hg and pulse was 80 beats/min. Heart auscultation revealed a loud systolic click followed by a holosystolic murmur. The ECG showed sinus rhythm, P wave +/− in V1 and P wave duration 140 ms in DII. The Holter monitoring showed atrial extrasystoles and an episode of atrial tachycardia (figure 1A).