HeFSSA Practitioners Program 2017
Theme – “The Patient Journey: Feel Good and Live Long”
Case Study 1
,HEART FAILURE WITH PRESERVED
EJECTION FRACTION
, CASE HISTORY
✓ Mrs. D. G aged 72 years, presents with a 4 week history of progressive
dyspnoea, particularly with inclines, as well as fatigue and mild
peripheral oedema
✓ She has a past history of hypertension of 10 years duration
✓ She is obese (BMI, 32 kg/m2), her BP 190/110 mmHg, with a
tachycardia of 110 bpm & in sinus rhythm
✓ Clinical examination shows bipedal oedema with an elevated JVP, S3
gallop & bi-basal crackles
✓ LVH clinically with a loud aortic component on auscultation
✓ Blood tests reveal a normal haemoglobin & blood glucose level with
mildly impaired renal function (eGFR 48), potassium of 4.6 mmol/L
✓ ECG shows LA enlargement, LVH with a strain pattern
, CASE STUDY
You suspect that this patient has heart failure
How would you diagnose the type of heart failure?
Theme – “The Patient Journey: Feel Good and Live Long”
Case Study 1
,HEART FAILURE WITH PRESERVED
EJECTION FRACTION
, CASE HISTORY
✓ Mrs. D. G aged 72 years, presents with a 4 week history of progressive
dyspnoea, particularly with inclines, as well as fatigue and mild
peripheral oedema
✓ She has a past history of hypertension of 10 years duration
✓ She is obese (BMI, 32 kg/m2), her BP 190/110 mmHg, with a
tachycardia of 110 bpm & in sinus rhythm
✓ Clinical examination shows bipedal oedema with an elevated JVP, S3
gallop & bi-basal crackles
✓ LVH clinically with a loud aortic component on auscultation
✓ Blood tests reveal a normal haemoglobin & blood glucose level with
mildly impaired renal function (eGFR 48), potassium of 4.6 mmol/L
✓ ECG shows LA enlargement, LVH with a strain pattern
, CASE STUDY
You suspect that this patient has heart failure
How would you diagnose the type of heart failure?
