A 67-year-old man presents with progressive exertional dyspnea and bilateral lower extremity edema. Vital signs show BP 148/92 mmHg, HR 92 bpm, RR 18, temperature 37.2°C, and SpO2 98% on room air. He reports numbness in both feet and easy bruising but denies orthopnea. Recent labs reveal BNP 450 pg/mL and hemoglobin 14.2 g/dL. Echocardiography demonstrates preserved ejection fraction with impaired ventricular filling and biatrial enlargement. Which diagnosis best explains these findings?

  1. A)Dilated cardiomyopathy
  2. B)Restrictive cardiomyopathyGABARITO
  3. C)Heart failure with reduced ejection fraction
  4. D)Cardiac tamponade
  5. E)Constrictive pericarditis

Explicação

Restrictive cardiomyopathy is correct. Preserved systolic function with severe diastolic dysfunction, biatrial enlargement, neuropathy, and easy bruising suggests amyloid infiltration causing a stiff ventricle. Restrictive physiology limits filling without the... Ver explicação completa e trilha adaptativa →

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