Today's question is courtesy of Dr Ramachandra, senior SpR Cardiology, Leeds.
A 60 year old Asian man with a history of type 2 diabetes on insulin and hypertension presents with deteriorating renal function and is referred by his GP to the renal clinic. In the renal clinic, he is found to have leg oedema, elevated JVP with rapid x-descent, ascites, mild jaundice and bi-basal dullness. Chest X-ray shows cardiomegaly. ECG shows left ventricular hypertrophy with strain. Resting heart rate was 100 bpm and BP of 90/70. The definitive cardiac diagnosis can be obtained by -
a. Cardiac MRI
b. CT pulmonary angiography
c. Ventilation-perfusion scan
d. Transthoracic echocardiography
e. Right and left heart catheterisation
In the patient above, which of the following observation is likely to be true?
a. Absent contrast reflux into the hepatic vein on CTPA
b. Pulsus paradoxus of 30 mmHg on clinical examination
c. Paradoxical septal motion on transthoracic echocardiography
d. Myocardial speckling on CMR
e. Pulmonary capillary wedge pressure of 15mmHg on cardiac catheter
Put your thinking caps on! Answer in a week!
Cardio4mrcp team.
A 60 year old Asian man with a history of type 2 diabetes on insulin and hypertension presents with deteriorating renal function and is referred by his GP to the renal clinic. In the renal clinic, he is found to have leg oedema, elevated JVP with rapid x-descent, ascites, mild jaundice and bi-basal dullness. Chest X-ray shows cardiomegaly. ECG shows left ventricular hypertrophy with strain. Resting heart rate was 100 bpm and BP of 90/70. The definitive cardiac diagnosis can be obtained by -
a. Cardiac MRI
b. CT pulmonary angiography
c. Ventilation-perfusion scan
d. Transthoracic echocardiography
e. Right and left heart catheterisation
In the patient above, which of the following observation is likely to be true?
a. Absent contrast reflux into the hepatic vein on CTPA
b. Pulsus paradoxus of 30 mmHg on clinical examination
c. Paradoxical septal motion on transthoracic echocardiography
d. Myocardial speckling on CMR
e. Pulmonary capillary wedge pressure of 15mmHg on cardiac catheter
Put your thinking caps on! Answer in a week!
Cardio4mrcp team.
answer of ist question is e
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