Abstract

A 71-year-old man with chronic obstructive pulmonary disease (severe pulmonary emphysema with home oxygen therapy) was referred to our hospital because of 1-day history of dyspnea at rest. His physical examination was remarkable for tachycardia (110 bpm) and tachypnea (32 breaths/min). The ECG demonstrated sinus tachycardia, S waves in leads I and aVL, transition zone to V5, and T-wave inversion in leads III and aVF. A transthoracic echocardiogram (TTE) performed on admission showed that the right atrium and right ventricle were apparently enlarged. The left ventricle had …

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