23 Jul WHAT IS THE DIAGNOSIS?
History of Present Ill Show more Admitting Diagnosis Difficulty breathing hypertension tachycardia History of Present Illness: Patient was brought to the ER by her family because of difficulty breathing and palpitations. Patient reports that she has experienced these symptoms for past 6 months but this episode is more severe than any previous. Upon admission in the ER heart rate was 120 beats per minute and blood pressure was 180/110. The results of an EKG and cardiac enzyme blood tests were normal. She was admitted for a complete workup for tachycardia and hypertension. Summary of Hospital Course: Patient underwent a full battery of diagnostic tests. A prolapsed mitral valve was observed by echocardiography. A stress test had to be stopped early due to onset of severe difficulty in breathing. Angiocardiography failed to demonstrate significant CAD. Blood pressure and tachycardia were controlled with medications. At discharge HR was 88 beats per minute and blood pressure was 165/98. What is the diagnosis? Show less
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