This patient, previously healthy, came with dyspnea and low grade fever since 4 months. His lungs are clear. JVP is normal. ECG showed low voltage complexes. What is the possible diagnosis?
The presence of low grade fever and dyspnea indicates an infective pathology. CXR shows an increased CT Ratio which could be Tuberculous pericardial effusion. The diagnosis is given more credence due to ECG showing low voltage ECG which is seen with an effusion. Disease Features Syphilitic Aoic aneurysm Vasa vasorum undergo hyperplastic thickening of their walls, restricting blood flow and causing ischemia of outer 2/3rd of the aoic wall. 60% of thoracic aoic aneurysms involve the aoic root and/or ascending aoa, 40% involve the descending aoa, 10% involve the arch, and 10% involve the thoraco-abdominal aoa Hyperophic cardiomyopathy Enlarged hea T wave inversion due to sub-endocardial ischemia Deep Q waves in lateral and inferior leads to septal hyperophy Rheumatic Mitral Stenosis History of gradual progression of DOE(dyspnea on exeion), ohopnea. Pulmonary edema is seen on CXR Straightening of left hea border ECG showing: P mitrale or P pulmonale
Syphilitic aoic aneurysm
Hyperophic cardiomyopathy
Rheumatic mitral stenosis
Tuberculous pericardial effusion
Emergency Clinical Scenario