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Repeated heart failure in a 74-year-old man with left ventricular hypertrophy
  1. Yuri Ochi,
  2. Toru Kubo,
  3. Hiroaki Kitaoka
  1. Department of Medicine and Geriatrics, Kochi Medical School, Kochi, Japan
  1. Correspondence to Dr Toru Kubo, Department of Medicine and Geriatrics, Kochi Medical School, Oko-cho, Nankoku-shi Kochi 783-8505, Japan; jm-kubotoru{at}

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A 74-year-old man who had been diagnosed with LV hypertrophy (LVH) at the age of 60 years in another hospital was referred for evaluation of repeated hospitalisation for heart failure. He complained shortness of breath, but no chest pain or syncope. Significant information was not obtained in spite of a carefully taken past and family history. There was no history of hypertension. His blood pressure was 118/60 mm Hg and the third heart sound was audible. With the patient sitting, the right internal jugular vein was visibly distended. Brain natriuretic peptide level was 498 pg/mL. Transthoracic echocardiography at first evaluation in our …

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