A 68-year-old woman with a history of infective endocarditis 10 years ago now presents with progressive dyspnea and a wide pulse pressure. On examination, she has a water-hammer pulse, Quincke pulses, and a high-pitched blowing diastolic murmur heard best along the left sternal border while leaning forward. Which of the following is the most likely diagnosis?
- A)Acute aortic regurgitation
- B)Mitral stenosis
- C)Chronic aortic regurgitationGABARITO
- D)Aortic stenosis
- E)Pulmonary regurgitation
Explicação
Chronic aortic regurgitation from endocarditis-related valve damage presents with a high-pitched blowing diastolic murmur heard at the left sternal border with the patient leaning forward. It causes a wide pulse pressure with bounding pulses (water-hammer puls... Ver explicação completa e trilha adaptativa →