An unusual cause of dyspnoea in a patient with chronic ischemic heart disease

Autori

  • Domenica Catalano Unità Operativa Complessa di Pneumologia Universityof Messina, Messina
  • Antonella Sacco Unità Operativa Complessa di Pneumologia Universityof Messina, Messina
  • Ignazio Salamone Unità Operativa di Diagnostica per Immagini, Dipartimento di Scienze Biomediche, Odontoiatriche e delle Immagini Morfologiche e Funzionali (BIOMORF) Universityof Messina, Messina
  • Alfio Proietto Unità Operativa Complessa di Pneumologia Universityof Messina, Messina
  • Irene Coppolino Unità Operativa Complessa di Pneumologia Universityof Messina, Messina
  • Gaetano Caramori Unità Operativa Complessa di Pneumologia, AOU Policlinico G. Martino di Messina
  • Paolo Ruggeri Unità Operativa Complessa di Pneumologia, AOU Policlinico G. Martino di Messina
  • Giuseppe Girbino Unità Operativa Complessa di Pneumologia, AOU Policlinico G. Martino di Messina

DOI:

https://doi.org/10.6092/1828-6550/APMB.106.2.2018.A4

Parole chiave:

Idiopathic Pulmonary Fibrosis, dyspnea, heart failure.

Abstract

A 70-year old male was referred to our attention for worsening dyspnea in the last three months. His past medical history was characterized by an acute myocardial infarction and an episode of ventricular tachycardia with positioning of an implantable cardioverter defibrillator. At the physical examination “velcro” inspiratory crackles were present, however lung volumes, diffusing capacity of the carbon monoxide and arterial blood gases values were within the normal limits, whereas the computed tomography of the chest showed a typical pattern of idiopathic pulmonary fibrosis. Long-term treatment with pirfenidone was started.
Conclusions:Idiopathic pulmonary fibrosis is a rare chronic, progressive lung disease that may present with progressive dyspnea which may be confused with cardiogenic dyspnea

Biografia autore

  • Antonella Sacco, Unità Operativa Complessa di Pneumologia Universityof Messina, Messina

Riferimenti bibliografici

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Dowloads

Pubblicato

2018-12-18

Fascicolo

V. 106 N. 2 (2018)

Sezione

CLINICAL CASE SEMINAR

Licenza

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