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HomeAnswersInternal Medicinechest painI have chest pain and shortness of breath with exertion. Why?

Please interpret echo taken for lightheadedness, chest pain, and shortness of breath.

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At June 1, 2020
Reviewed AtOctober 11, 2023

Patient's Query

Hello doctor,

A 56-year-old patient went to his physician for evaluation of recurrent episodes of lightheadedness, chest pain, and shortness of breath with exertion. One week earlier, he experienced an episode of syncope while walking up the stairs of his house.

Vitals:

Heart rate - 116 bpm,

BP - 164/102 mmHg.

Respiratory rate - 18.

Weight - 247 lbs.

Laboratory exams: Troponin level - normal, hypercholesterolemia, hypertriglyceridemia.

Imaging: Doppler echocardiogram demonstrates a significantly stenotic aortic valve and plaques within the coronary arteries.

From the given information, which among his findings show abnormal results? What is the possible diagnosis of the patient? What type of muscle tissue is associated? What type of valve is the aortic valve and cite its function? How does the plaque build-up affect the function of the coronary arteries?

Hello,

Welcome to icliniq.com.

Did he lose consciousness while walking upstairs? Is he a diabetic?

His cholesterol report seems abnormal, along with hypertension and uncontrolled blood pressure. His color Doppler report showing aortic stenosis.

Possible diagnosis is age-related atherosclerosis with severe aortic stenosis with dyslipidemia and hypertension. No muscle tissue involved. The major blood vessel called aorta is narrowed.

Aortic valve is a tricuspid semilunar valve that allows oxygenated blood from the left atrium into it. It will supply blood to all parts of the body. Due to age-related atherosclerosis (dyslipidemia and hypertension aggravate it).

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Penchilaprasad Kandikattu
Dr. Penchilaprasad Kandikattu

Internal Medicine

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