TY  - CHAP
M1  - Book, Section
TI  - Congestive Heart Failure
A1  - Ginsberg, Fredric
A1  - Parrillo, Joseph E.
A2  - Lee, Kiwon
Y1  - 2012
N1  - 
T2  - The NeuroICU Book
AB  - A  72-year-old  woman  is  admitted  to  the  intensive  care  unit  (ICU)  with  a  9-hour  history  of  left-sided  weakness  and  tachypnea.  She  has  had  hypertension  for  over  15  years.  There  is  no  history  of  current  chest  pain  or  previous  neurologic  illness.  Physical  examination  shows  that  she  is  awake  and  mildly  lethargic.  Pulse  is  regular  at  80  bpm.  Blood  pressure  is  210/110  mm  Hg  in  both  arms.  Respiratory  rate  is  34  breaths/min.  Temperature  is  37°C.  There  is  no  pallor  or  jaundice.  Jugular  venous  pressure  is  not  elevated.  Carotid  pulses  are  brisk.  Lungs  show  rales  bilaterally.  Cardiac  examination  shows  normal  heart  tones  without  murmur.  There  is  an  S3  gallop.  Abdomen  is  soft  without  mass.  There  is  no  peripheral  edema.  Neurologic  examination  shows  the  patient  to  be  lethargic.  There  is  a  left  hemiparesis.Laboratory  shows  normal  complete  blood  cell  count  and  chemistry  profile.  Serum  B-natriuretic  peptide  (BNP)  is  elevated  at  700  pg/mL.  Serum  troponin  I  is  elevated  at  0.10.  Electrocardiogram  (ECG)  shows  sinus  rhythm  with  left  ventricular  hypertrophy  and  repolarization  abnormality.  Chest  radiography  shows  cardiomegaly  with  signs  of  pulmonary  edema.  Emergency  computed  tomography  scan  of  the  head  shows  signs  of  acute  right  hemisphere  ischemic  infarction.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - neurology.mhmedical.com/content.aspx?aid=1101644818
ER  -