A 47yo man with hx of IHD complains of chest pain with SOB on exertion over the past few days.
ECG normal, Echo= increased EF and decreased septal wall thickness. What is the most likely dx?
a. Dilated CM
b. Constrictive pericarditis
c. Amyloidosis
d. Subacute endocarditis
Diagnosis: A with Bad recall.... candidate probably made an incorrect recall of decreased EF and increased septal wall thickness
Dilated CM
Clinical presentation may be abrupt, with acute pulmonary oedema, systemic or pulmonary emboli, or even sudden death, but more often patients present with progressive symptoms of congestive cardiac failure (CCF) including exertional dyspnoea, orthopnoea, paroxysmal nocturnal dyspnoea, and fatigue.
Echo: chamber enlargement, global hypokinesis, depressed EF, MR and TR, mural thrombi
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