Question 124 · LEK · Chronic heart failure
A 76-year-old smoker with arterial hypertension and type 2 diabetes came to the Emergency Department because of exercise intolerance, severe dyspnea and lower limb edema that have been aggravating for 3 weeks. The patient reports that the symptoms occurred after the episode of acute strong chest pain. The physical examination reveals bibasilar crackles and pitting peripheral edema. The most probable cause of the above disorders is:
- A. intercostal neuralgia.
- B. pulmonary embolism.
- C. aggravation of chronic obstructive pulmonary disease (COPD).
- D. aggravation of asthma.
- E. aggravation of heart failure, probably as a result of myocardial infarction.
Hint
Link the episode of severe chest pain in a high-risk patient with the later bibasal crackles and peripheral oedema.
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