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70 y/o male with COPD Gold IV: FEV 27% of predicted value and CO diffusion +- 30% too. 94% O2 Sat on home O2 2l/min
No other medical problems heart echo from last year shows a normal EF and a 1/4 aortic insufficiency.
Listed for Chole with umbilical hernia repair (don't know at this point if surgeons plans on doing a laparoscopy but i guess not considering the hernia)
I see him at 3:30 on friday on auscultation i hear a 2-3/6 holosystolic murmur which sounded more like Ao stenosis to me no h/o symptoms though.
Has been doing intense physical rehab for 3 weeks which has improved his walking distance w/o dyspnea.
So would you repeat echo?
What's your plan?
No other medical problems heart echo from last year shows a normal EF and a 1/4 aortic insufficiency.
Listed for Chole with umbilical hernia repair (don't know at this point if surgeons plans on doing a laparoscopy but i guess not considering the hernia)
I see him at 3:30 on friday on auscultation i hear a 2-3/6 holosystolic murmur which sounded more like Ao stenosis to me no h/o symptoms though.
Has been doing intense physical rehab for 3 weeks which has improved his walking distance w/o dyspnea.
So would you repeat echo?
What's your plan?