msyamp
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65 year old male has had congestive heart failure with increasing pulmonary congestion and edema for several years. He has no peripheral edema, but it has gotten much worse in the last couple of days. His blood pressure is 125/85 mmHg. He has been healthy all his life with no major illnesses. A serum glucose is 95 mg/dL. His cholesterol is 185 mg/dL. The creatine kinase is not elevated. The most likely etiology for these findings is:
A Alcoholic cardiomyopathy
B Calcified bicuspid aortic valve
C Tricuspid valve endocarditis
D Aortic dissection calcification
E Amyloidosis
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| drk1980
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B) calcified bicuspid aortic valve?
oh but his BP seems normal!
opt for amyloidosis next.
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| msyamp
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i dont know answer but i go to amyloidosis too
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| sturge_weber
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dont u think amylodosis would affect the whole heart and also cause right heart failure
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| ssrpk
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good point sturge, amyloidosis should cause both sided diastolic failure [restrictive cardiomyopathy]
btw why do u suppose that in aortic stenosis, blood pressure won't be normal, i say atleast at rest it should be, however upon exagerration BP may decrease which would evoke sycopal eisodes.
the questioin does'nt really give any info regarding the cause, so my best guess is B Calcified bicuspid aortic valve
as alcoholism would lead to DCM [both sided CHF], others don't fit into left sided failure alone.
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| robin082006
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CALCIFIED AORTIC VALVE.
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| msyamp
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i dont kow but by actually seeing the bp of that too old man i now change to calcified valve. can yu tell why bp suggests that?
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| Geroo
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Calcified bicuspid aortic valve.
is it NMBE q??
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