A 23-year-old woman evaluated for dyspnoea and recurrent palpitations. She has a history of Fallot tetralogy repair at the age of 3. On cardiac examination, appearance was normal w... A 23-year-old woman evaluated for dyspnoea and recurrent palpitations. She has a history of Fallot tetralogy repair at the age of 3. On cardiac examination, appearance was normal with left parasternal impulse. S1 is single with grade 2/4 decrescendo diastolic murmur that increases with inspiration noted at left sternal border. Blood pressure 110/70 mm, heart rate 94/min, oxygen saturation 92%. Which of the following is the most likely diagnosis?
Understand the Problem
The question is presenting a clinical scenario involving a 23-year-old woman with a history of Fallot tetralogy, experiencing dyspnea and palpitations. It provides details about her physical examination and vital signs, and then asks for the most likely diagnosis based on this information.
Answer
Pulmonary regurgitation
The most likely diagnosis is pulmonary regurgitation.
Answer for screen readers
The most likely diagnosis is pulmonary regurgitation.
More Information
Pulmonary regurgitation commonly occurs after surgical repair of Tetralogy of Fallot due to right ventricular outflow tract procedures. It can cause symptoms like dyspnea and palpitations.
Tips
A common mistake is missing the association between diastolic murmurs increasing with inspiration and right-sided heart issues.
Sources
- Tetralogy of Fallot - Symptoms and causes - Mayo Clinic - mayoclinic.org
- Tetralogy of Fallot - Case Presentation - slideshare.net
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