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World J Cardiol. May 26, 2014; 6(5): 345-348
Published online May 26, 2014. doi: 10.4330/wjc.v6.i5.345
Published online May 26, 2014. doi: 10.4330/wjc.v6.i5.345
Long-lasting symptoms and diagnostics in a patient with unrecognized right sided heart failure: Why listening to the heart is so important
Liesbeth C de Vette, Jasper J Brugts, Jacky S McGhie, Jolien W Roos-Hesselink, Department of Cardiology, Erasmus MC, 230 3015 CE Rotterdam, The Netherlands
Author contributions: de Vette LC, Brugts JJ, McGhie JS and Roos-Hesselink JW wrote the manuscript, interpretated the clinical data and echocardiographic data, and approved the final version of the manuscript,
Correspondence to: Jolien W Roos-Hesselink, Professor, Department of Cardiology, Erasmus MC, Thoraxcentre‘s Gravendijkwal, 230 3015 CE Rotterdam, The Netherlands. j.brugts@erasmusmc.nl
Telephone: +31-10-8003938 Fax: +31-10-8003939
Received: December 21, 2013
Revised: February 10, 2014
Accepted: March 13, 2014
Published online: May 26, 2014
Processing time: 181 Days and 1.8 Hours
Revised: February 10, 2014
Accepted: March 13, 2014
Published online: May 26, 2014
Processing time: 181 Days and 1.8 Hours
Core Tip
Core tip: The young woman in our case complainted of fatigue and shortness of breath, on physical examination she showed signs of heart failure with raised central venous pressure, palpable liver, an a cardiac murmer. Based on these findings she should have been referred to a cardiologist in an early stage after which transthoracic echocardiography resulted in the correct diagnosis.