chazan
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45yo woman has 3-month history of persistent cough and increasing shortness of breath. She denies chest pain or other illnesses. BP is 110/70 and pulse is 100/min. She has diffuse basilar crackles and an S3 gallop, but no murmur. ECG shows sinus tachycardia and non-specific ST-T wave changes. Echocardiography shows a dilated left ventricle and a diffusely hypokinetic heart. The most likely diagnosis is
a) acute pericarditis with effusion
b) dilated cardiomyopathy
c)hypertrophic cardiomyopathy
d) severe mitral valve prolapse
e) silent subendocardial infarct
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| robin082006
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B?
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| general malaise
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B
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| doc179
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B
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| yasmeen
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B
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| sridevibandaru24
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B
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| mitty
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B
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| chazan
Forum Senior
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I was thinking B also, but the reason of my uncertainty was in dilated cardiomyopathy i thought all four chambers were dilated.
Could somebody please explain this question a little bit...thanks
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| doc179
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they have not said that only left ventricle is dilated and other chambers are normal. They just mention that left ventricle is dilated that does not say whether or not the other chambers are dilated or normal.
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| Cedrick
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the most likely diagnosis
b.-dilated cardiomyopathy
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| Musuq
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b
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| ssrpk
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its mentioned clearly, tht its a diffeuse hypokinetic heart! its just a matter of time when all the chambers will be dilated!
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| Allison
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B S3 is associated with dilated CHF.
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