Kalsi Henna, Wennberg Paul, Misra Sanjay, Cooper Leslie
Division of Cardiovascular Medicine and Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Int J Angiol. 2009 Winter;18(4):207-8. doi: 10.1055/s-0031-1278356.
A 75-year-old woman presented with a two-month history of progressive dyspnea on exertion. On physical examination, her blood pressure was 148/90 mmHg, jugular venous pressure was 10 cmH(2)O with a prominent V wave, right ventricular heave was present and she had a systolic murmur at the right upper sternal border that varied with inspiration. The patient had a pulsatile liver, mild ascites and systolic bruits over both kidneys, with the diastolic component on the left side.
一名75岁女性,有两个月进行性劳力性呼吸困难病史。体格检查时,其血压为148/90 mmHg,颈静脉压为10 cmH₂O,V波明显,有右心室抬举样搏动,在胸骨右缘上部有随吸气变化的收缩期杂音。患者有肝脏搏动、轻度腹水以及双侧肾脏的收缩期血管杂音,左侧有舒张期成分。