Pulmonary Arterial Hypertension

47-year-old-man-experiencing-severe-chest-pain-with-exertion

Patient seen in emergency room complaining of severe chest pain while running in the bay-to-breakers foot race in San Francisco. Patient has type II diabetes and is currently on oral hypoglycemic medication. Strong family history of heart disease. Father died of coronary artery heart disease in early 40s.

Physical Exam
Admitted with heart rate of 110.
Blood pressure 100/65

Listen

patient torso with stethoscope at aortic position

patient torso with stethoscope at Erb's Point position

patient torso with stethoscope at tricuspid position

patient torso with stethoscope at mitral position

47-year-old-man-experiencing-severe-chest-pain-with-exertion

Listen

Heart Sounds

Carotid Sounds