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BMJ Case Reports 2017; doi:10.1136/bcr-2017-219916

Transoesophageal three-dimensional echocardiographic diagnosis of Barlow’s disease

  1. Nilda Espinola-Zavaleta2,3
  1. 1 Department of Cardiology, The American British Cowdray Medical Center, Mexico, Mexico City, Mexico
  2. 2 Department of Echocardiography, The American British Cowdray Medical Center, Mexico, Mexico City, Mexico
  3. 3 Department of Echocardiography, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico, Mexico City, Mexico
  1. Correspondence to Dr Julio Cesar Sauza Sosa, sauzamd{at}hotmail.com
  • Accepted 3 April 2017
  • Published 20 April 2017

Description

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).

Figure 1

(A) The Holter monitoring showed atrial extrasystoles and an episode of atrial tachycardia. (B) M-mode …

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