A 36-year-old woman presented to the Accident & Emergency department with an episode of dizziness and collapse whilst out walking her dog. There was no history of tongue biting or incontinence. There were no witnesses to the collapse. On direct questioning she admitted to being increasingly breathless on exertion and feeling fatigued. She had no history of respiratory disease but was unable to comment on her family history as she was adopted at birth. Although she took no regular medication she did admit to recreational drug use including ecstasy. On examination there was mild central cyanosed. She was alert and orientated. Her pulse was 90 beats per minute regular, temperature 36.5°C, blood pressure 100/80 mmHg and oxygen saturations 88% on room air. Auscultation of her chest revealed a loud P2, a pansystolic murmur at the left sternal edge and an early diastolic murmur at the second left space. An Electrocardiogram reveals a sinus tachycardia. What is the most likely diagnosis? (Please select 1 option) Acute Pulmonary Embolism Epilepsy Hypertrophic Cardiomyopathy Mixed Aortic Valve disease Pulmonary Arterial Hypertension
Posted on: Fri, 14 Nov 2014 19:26:10 +0000
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