pulmonary hypertension

60/F C/C - dyspnea history - HTN <img src="https://t1.daumcdn.net/cfile/cafe/0361A73350C2A6CA0F" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_0361A73350C2A6CA0F085C"/>   pic 1. EKG - CRBBB   <img src="https://t1.daumcdn.net/cfile/cafe/1154573350C2A6CA1C" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1154573350C2A6CA1CF65F"/> pic 2. PLAX (teich) - wall thickness 13 mm                               septum 쪽은 거의 움직임 안보임.   <img src="https://t1.daumcdn.net/cfile/cafe/1169D13350C2A6CB04" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1169D13350C2A6CB0456F0"/> pic 3. PSX - systole 시 septum이 flattening 해짐.   <img src="https://t1.daumcdn.net/cfile/cafe/1558AB3350C2A6CC17" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1558AB3350C2A6CC1767E3"/> pic 4. TR velocity (37mmHg) -pulmonary hypertension (+)   <img src="https://t1.daumcdn.net/cfile/cafe/1956793350C2A6CC1C" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1956793350C2A6CC1C36A3"/> pic 5. LA enlargement (almost 70ml) also RA enlarged   <img src="https://t1.daumcdn.net/cfile/cafe/1853153350C2A6CD1A" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1853153350C2A6CD1A4D79"/> pic 6. EF 50.5%   <img src="https://t1.daumcdn.net/cfile/cafe/1650973350C2A6CD1E" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_1650973350C2A6CD1EE78F"/> pic 7. RV enlarged   <img src="https://t1.daumcdn.net/cfile/cafe/164B003350C2A6CE25" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_164B003350C2A6CE253970"/> pic 8. main Pulmonary Artery - 51mm   <img src="https://t1.daumcdn.net/cfile/cafe/154D5F3350C2A6CE21" class="txc-image" style="FLOAT: none; CLEAR: none" actualwidth="580" border="0" hspace="1" vspace="1" width="580" id="A_154D5F3350C2A6CE214C3E"/> pic 9. lung CT ( pulmonary artery size - 51mm)   <iframe id="R4NBxJ_5szA$@my" width="640" height="360" src="https://kakaotv.daum.net/embed/player/cliplink/R4NBxJ_5szA$@my?service=daum_cafe&ptoken=v2_cf604881652f80fb33b8545cc2d9d07a37cdc43cee7270d28a85c4e3d2318378aae55e3bffc66c02a7a2c0a5e0f73406c65dd6fec387a8514a218544" frameborder="0" scrolling="no" allowfullscreen></iframe>     LV 빼고 다른 챔버 모두 enlargement 있었고. pulmonary hypertension 으로 인해 D-shape  보였습니다. 이로 인해  특히 septum 쪽 wall motion 이 떨어져 있었습니다.   다들 열공 열공 하세요~~~~