Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
ISSN: 2155-9880
Abhishek Sharma
Institute of Cardiovascular Research and Technology,
125 96th street Apt 5B, Brooklyn, New York
Tanzania
Perspective
Cardiac Examination: We Should Believe what We Hear and Feel
Author(s): Abhishek Sharma and Aakash GargAbhishek Sharma and Aakash Garg
A 64 year old male with end stage renal disease on hemodialysis was evaluated for dyspnea in the emergency room. An urgent transthoracic echocardiogram done for the physical finding of systolic ejection murmur revealed severe aortic stenosis with valve area of 0.98 cm2. Cardiac catheterization revealed non-obstructive coronary artery disease and moderate aortic stenosis. Patient developed an access site hematoma resulting in prolonged hospital stay. In the meanwhile, hemodialysis resulted in relief of his dyspnea. The present case brings into perspective the importance of physical exam for efficient and ‘do not harm’ principle of medicine.
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DOI:
10.4172/2155-9880.1000489