作者
Reza Arsanjani, Graham Lohrmann, Sorcha Allen, Samuel Unzek, Farouk Mookadam
发表日期
2016/8/1
期刊
The American Journal of Medicine
卷号
129
期号
8
页码范围
e113-e116
出版商
Elsevier
简介
A 66-year-old woman was referred for evaluation of an abnormal electrocardiogram (ECG), functional class II exertional dyspnea, and intermittent paroxysms of palpitations in the absence of chest pain. An ECG 3 years earlier was normal (Figure 1A). The review of systems was noncontributory.
The past medical history included hepatitis C complicated by hepatocellular carcinoma, with subsequent deceased-donor liver transplant 3 years prior, hypertension, type 2 diabetes mellitus, chronic kidney disease stage 3, active tobacco use, and hypothyroidism. A dobutamine stress echocardiogram performed prior to liver transplant had demonstrated normal left ventricular ejection fraction (67%), normal right ventricular function, no valvular abnormalities, and no evidence of ischemia during peak stress.
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R Arsanjani, G Lohrmann, S Allen, S Unzek… - The American Journal of Medicine, 2016