Presentation
A 51 -year -old patient is admitted to the emergency room for dyspnea. It presents as a particular history of arterial hypertension (HTA) treated and type 2 diabetes under Metformin alone. He does not take any other treatment and does not present an allergy. He has described a crescendo dyspnea for a month, currently Nyha 4 with orthopnée, and presents francs edema of the lower limbs.
Its constants are as follows:
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blood pressure: 110/81 mm Hg
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Heart frequency: 108 BPM
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SPO2: 95 % under 4L/min of oxygen
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temperature: 36.2 ° C
Exams
The clinical examination finds crackling of the two bases without a franc home, and a mitral systolic breath.
The chest x -ray finds bilateral interstitial syndrome with minimal right pleural effusion.
An ECG is made (Figure 1).
Figure 1 : ECG (source image: Dr Michel Zeitouni)
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Cite this article: Clinical case: dyspnea and edemes of the lower limbs – Medscape – Jul 11 ​​2025.
