NBME 19

nbme19/Block 4/Question#17

60 yo man, 20-year history of hypertension; shortness of breath and fatigue for 3 months

Cardiac output: decreased; CVP: increased

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submitted by metformality(0),

This patient with a history chronic hypertension is most likely suffering from left heart failure (decreased cardiac outpout), causing the blood to back up in the lungs (Crackles are heard bilaterally, shortness of breath) and that resulting into increased afterload for the right side of the heart, raising the pressure in the right heart chambers, which get transmitted back to central vein.