Cardiology Research

Biography

Biography: Niraj Khatri Sapkota

Abstract

Case report: Patient of age 20 years old visited medicine OPD complaining of dyspnoea and dysphagia, diaphoresis with sign of tachypnea (21 breathe per minute) and tachycardia of 150 bpm with systolic and diastolic blood pressure 90/60 respectively, he had history of 12 years pneumonia repeated treatment with recent diagnosis of tuberculosis, treated by medication before 6 months, his weight was 25 kg at the moment of visit, in his previous visit to different clinician, suspected to have cancer due to his reduced weight indication, due to dyspnoea symptoms, medication prescribed which he undergone for 15 days were salmeterol, ipratropium, emsolone, fluticasone during this course of medication his shortness of breath exacerbated along with difficulty in swallowing. Symptomatic status of tachycardia (heartbeat of 150), dyspnoea, dysphagia and more focused symptom was critical reduction in weight 25 kg in 10 years of time, hence he was referred to Cardiology department for further examination expecting that there must be involved of cardiac problem if not we will rule out it. On visit to cardiology department, Echo test was said to perform, not performed till his this age of 20 years.

Investigation: He underwent transthoracic echocardiography that revealed an EF of 36% with severe global Left Ventricular (LV) hypokinesia. His echo impression revealed Global LV hypokinesia. On the basis of echo test result he was prescribed spironolactone, metoprolol and one antibiotic to prevent from infection improve and strengthens the muscle of heart so that his prognosis of symptoms be amended in assumption to remodel the cardiac system and to enhance easier life survivality.

Conclusion: This is clear undiagnosed case of long term pneumonia treated Global left ventricular hypokinesia, under transthoracic investigation demonstrated LV hypokinesia