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Anterior Crackles: A Neglected Sign?
MedLine Citation:
PMID:  23395222     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We report on a man, aged 83 years, with chronic heart failure, atrial fibrillation, right ventricular pacing, and worsening exertional dyspnea who was referred for cardiac resynchronization therapy. Detection by anterior chest auscultation of pulmonary crackles during comfortable supine breathing in the context of documented low filling pressures led to the realization that unrecognized pulmonary fibrosis, not congestion, was the principal cause of his shortness of breath. We propose that the incidental finding in chronic heart failure of diffuse anterior crackles during comfortable supine breathing initiate a workup for alternate disorders such as occult pulmonary fibrosis.
Authors:
Maneesh Sud; Alan Barolet; Michael McDonald; John S Floras
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-2-7
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  -     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-2-11     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
Affiliation:
University Health Network and Mount Sinai Hospital, Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
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