心肌病心内科.pptxVIP

Dilated CardiomyopathyDCMGU JunDept. of ?Cardiovascular Medicine Case A 36 year old man comes to your office complaining of three months of progressive fatigue and dyspnea on exertion. Several times in the past month he has awakened from sleep with severe breathlessness and felt a need to sit up in order to breath. He denies any chest pain. He has no past medical history of heart disease, hypertension or diabetes. His family history is negative for heart disease. He does not smoke and drinks alcohol only rarely. He takes no medications. Physical ExaminationBP 105/70mmHg, P 98 regularLungs: r