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A 48-year-old male patient with a history of New York Heart Association (NYHA) Class II dyspnoea for the last 2 years presented with acute onset breathlessness associated with orthopnoea and palpitations. The symptom aggravation was abrupt with simultaneous occurrence of both dyspnoea and palpitations. After medical stabilisation, the neck pulsations were as shown in online supplementary video 1.
What is the most likely cardiac condition?
Congestive cardiac failure
The major clue here is to find out whether it is an arterial pulsation or a venous pulsation. Typically, an elevated jugular …
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