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Gepubliceerd in: Netherlands Heart Journal 12/2021

Open Access 17-08-2021 | Image Puzzle – Question

Left ventricular haemodynamic effects in a patient with endocarditis

Auteurs: M. A. W. Habets, S. Bouwmeester

Gepubliceerd in: Netherlands Heart Journal | Uitgave 12/2021

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A 53-year-old man, with no medical history, presented to the emergency department with malaise and severe shortness of breath two months after a dog bite. On physical examination, the heart rate was 95 beats per minute, blood pressure was 128/48 mm Hg and a cardiac decrescendo diastolic murmur as well as a Duroziez sign were noted. Laboratory tests showed elevated infection parameters (C-reactive protein [CRP] 105 mg/l, leucocytes 22.5 10^9/l), liver enzymes and N‑terminal pro-brain natriuretic peptide (NT-pro-BNP: 3532 pg/ml). Echocardiography revealed a large vegetation on the aortic valve with severe regurgitation (Fig. 1a). A colour M‑mode Doppler imaging of the transmitral flow is shown (Fig. 1b). What is your diagnosis?

Answer

You will find the answer elsewhere in this issue.

Conflict of interest

M.A.W. Habets and S. Bouwmeester declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.
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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

Metagegevens
Titel
Left ventricular haemodynamic effects in a patient with endocarditis
Auteurs
M. A. W. Habets
S. Bouwmeester
Publicatiedatum
17-08-2021
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 12/2021
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-021-01615-1