Assessment of Rheumatic heart disease: Video, Anatomy & Definition | Osmosis

Question

A 70-year-old man comes to the emergency department for evaluation of dyspnea, dizziness, and associated chest pain. He became more concerned when he was walking up stairs and suddenly &#8220;passed out.&#8221; His medical history includes type 2 diabetes mellitus, for which he takes metformin. He smoked one pack per day for forty years but does not use excessive alcohol or illicit drugs. His temperature is 37.0&#176;C (98.6&#176;F), pulse is 80/min, and blood pressure is 139/75 mmHg. On physical examination, a systolic murmur is appreciated over the right sternal border, which decreases with sustained hand grip. Which of the following is the most likely underlying cause of this patient's condition?&#160;

Accepted Answer

Age-related valve calcification

Answer

Bicuspid aortic valve

Answer

Untreated group A streptococcus infection

Answer

Chronic obstructive pulmonary disease&#160;

Answer

Myxomatous valve degeneration

Questions or feedback?

Rheumatic heart disease

Pathology

Cardiovascular system