Skill Checkup: A 71-Year-Old Man With History of Chronic Heart Failure Presents With Dyspnea, Rales, and Ankle Swelling

Marco Guazzi, MD, PhD

May 02, 2022

The Skill Checkup series provides a quick, case-style interactive quiz highlighting key guidelines- and evidence-based information to inform clinical practice.

A 71-year-old man in Europe presents with dyspnea, rales, and ankle swelling that developed over the past week. His height is 1.75 m (5 ft 9 in) and weight is 74 kg (163 lb; body mass index of 24). He has a history of chronic heart failure, defined as New York Heart Association (NYHA) class II-III. He was previously hospitalized for pulmonary edema (PE). Left ventricular ejection fraction (LVEF) is 33% and estimated glomerular filtration rate is 21 mL/min/1.73 m². The patient has bradycardia. Brain natriuretic peptide is 402 pg/mL; haemoglobin is 10.3 g/dL.

1 2 3 4 5 6

Next Section

Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.

Cite this: Marco Guazzi. Skill Checkup: A 71-Year-Old Man With History of Chronic Heart Failure Presents With Dyspnea, Rales, and Ankle Swelling - Medscape - May 02, 2022.

Comments

Commenting is limited to medical professionals. To comment please Log-in.

Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.