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Case 01/2015 - 66 Year Old Woman with Hypertensive Cardiopathy and Acute Decompensated Heart Failure.

Pesinat RM, Yamada AT, Benvenuti LA - Arq. Bras. Cardiol. (2015)

View Article: PubMed Central - PubMed

Affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

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The main causes of death in patients with heart failure are complications, such as The patient's electrocardiogram showed left ventricular overload, which supports rates of hospitalization and mortality for patients with heart failure resulting from In a patient with multiple cardiovascular risk factors, such as hypertension, was not the main diagnostic hypothesis because she did not exhibit any objective evidence of ischemia, remembering that we did not have electrocardiographic parameters etiology... Decompensated heart failure resulting from infection... lesions... The aortic valve was trivalvular and did not exhibit any abnormalities... A case of a 66-year-old woman with hypertension, diabetes mellitus, and congestive heart severe left ventricular hypertrophy, weighing 824 g... Although there was no significant coronary atherosclerosis, a small scarred infarction was found on the posterior wall of

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Histological sections of the lung showing alveolar spaces completely filled byinflammatory neutrophilic exudate (A), spread via the airway (arrow, B),characteristic of bronchopneumonia. Hematoxylin-eosin, ×200 (A) and ×100(B).
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f10: Histological sections of the lung showing alveolar spaces completely filled byinflammatory neutrophilic exudate (A), spread via the airway (arrow, B),characteristic of bronchopneumonia. Hematoxylin-eosin, ×200 (A) and ×100(B).

Mentions: The heart weighed 824 g. There was intense hypertrophy of the left ventricle withmoderate dilation of the cavity and an area of irregular fibrous replacement of theposterior myocardium, corresponding to a small scarred infarction (Figure 9). A histological examination of themyocardium showed diffuse hypertrophy of the cardiomyocytes with small and rare fociof necrosis, formation of microabscesses and myocardial sclerosis in thesubendocardial region of the left ventricle, and confirmed the area of fibrousreplacement in the posterior wall. The coronary arteries were dissected and subjectedto histological study, identifying discrete atherosclerosis with plaque in focalareas of calcification in the proximal segments without significant obstructivelesions. The aortic valve was trivalvular and did not exhibit any abnormalities.Atherosclerosis of the aorta was moderate with the presence of focal calcifiedplaque. Examination of the lungs showed slight chronic passive congestion andextensive bilateral bronchopneumonia affecting all lobes of both the lungs, but wasmore intense in the right lung (Figure 10). Thekidneys had a fine granular surface, and on histological examination, atherosclerosisof the arterial branches and hyaline arteriosclerosis were observed. The glomeruliwere preserved. Other findings of the autopsy were multiple intramural and subserousuterine leiomyomas (the largest measuring 4.0 cm), an endometrial polyp (filling theuterine cavity) measuring 5.0 cm, and an ovarian fibroma measuring 0.7 cm. Dr.Luiz Alberto Benvenuti


Case 01/2015 - 66 Year Old Woman with Hypertensive Cardiopathy and Acute Decompensated Heart Failure.

Pesinat RM, Yamada AT, Benvenuti LA - Arq. Bras. Cardiol. (2015)

Histological sections of the lung showing alveolar spaces completely filled byinflammatory neutrophilic exudate (A), spread via the airway (arrow, B),characteristic of bronchopneumonia. Hematoxylin-eosin, ×200 (A) and ×100(B).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4495460&req=5

f10: Histological sections of the lung showing alveolar spaces completely filled byinflammatory neutrophilic exudate (A), spread via the airway (arrow, B),characteristic of bronchopneumonia. Hematoxylin-eosin, ×200 (A) and ×100(B).
Mentions: The heart weighed 824 g. There was intense hypertrophy of the left ventricle withmoderate dilation of the cavity and an area of irregular fibrous replacement of theposterior myocardium, corresponding to a small scarred infarction (Figure 9). A histological examination of themyocardium showed diffuse hypertrophy of the cardiomyocytes with small and rare fociof necrosis, formation of microabscesses and myocardial sclerosis in thesubendocardial region of the left ventricle, and confirmed the area of fibrousreplacement in the posterior wall. The coronary arteries were dissected and subjectedto histological study, identifying discrete atherosclerosis with plaque in focalareas of calcification in the proximal segments without significant obstructivelesions. The aortic valve was trivalvular and did not exhibit any abnormalities.Atherosclerosis of the aorta was moderate with the presence of focal calcifiedplaque. Examination of the lungs showed slight chronic passive congestion andextensive bilateral bronchopneumonia affecting all lobes of both the lungs, but wasmore intense in the right lung (Figure 10). Thekidneys had a fine granular surface, and on histological examination, atherosclerosisof the arterial branches and hyaline arteriosclerosis were observed. The glomeruliwere preserved. Other findings of the autopsy were multiple intramural and subserousuterine leiomyomas (the largest measuring 4.0 cm), an endometrial polyp (filling theuterine cavity) measuring 5.0 cm, and an ovarian fibroma measuring 0.7 cm. Dr.Luiz Alberto Benvenuti

View Article: PubMed Central - PubMed

Affiliation: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The main causes of death in patients with heart failure are complications, such as The patient's electrocardiogram showed left ventricular overload, which supports rates of hospitalization and mortality for patients with heart failure resulting from In a patient with multiple cardiovascular risk factors, such as hypertension, was not the main diagnostic hypothesis because she did not exhibit any objective evidence of ischemia, remembering that we did not have electrocardiographic parameters etiology... Decompensated heart failure resulting from infection... lesions... The aortic valve was trivalvular and did not exhibit any abnormalities... A case of a 66-year-old woman with hypertension, diabetes mellitus, and congestive heart severe left ventricular hypertrophy, weighing 824 g... Although there was no significant coronary atherosclerosis, a small scarred infarction was found on the posterior wall of

Show MeSH
Related in: MedlinePlus