Document Detail

Post coital hemoptysis.
MedLine Citation:
PMID:  18055033     Owner:  NLM     Status:  MEDLINE    
Ischemic mitral regurgitation is a complication of coronary artery disease specifically in the settings of prior myocardial infarction. It is a dynamic lesion and its severity may increase with different forms of exercise leading to flash pulmonary edema. We present the case of an 81-year-old man with ischemic mitral regurgitation who presented with long standing history of hemoptysis limited to sexual intercourse only. After a thorough negative work-up for the usual causes of hemoptysis, comprehensive right and left cardiac catheterization studies revealed marked increase in baseline mitral regurgitation and pulmonary capillary wedge pressure with isometric exercise. This case illustrates that sexual intercourse, a form of isometric exercise, can cause severe increase in ischemic mitral regurgitation and more so compared to other forms of exercise due to heightened sympathetic activity, leading to flash pulmonary edema and hemoptysis.
Manish Jhawar; Rajeev Garg; Sumit Tiwari; Kul Aggarwal
Related Documents :
11498643 - Diastolic dysfunction as a cause of exercise intolerance.
22917703 - Physical exercise, fasting glucose, and renal hyperfiltration in the general population...
931893 - Autonomic origin of heart rate fluctuations at the onset of muscular exercise.
Publication Detail:
Type:  Case Reports; Letter     Date:  2007-12-11
Journal Detail:
Title:  International journal of cardiology     Volume:  132     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-09     Completed Date:  2009-07-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e63-4     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aged, 80 and over
Hemoptysis / etiology*
Hypertension, Pulmonary / complications*
Mitral Valve Insufficiency / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Predictors of outcome in patients undergoing PCI. Results of the RIVIERA study.
Next Document:  Identification and differentiation of magnetically labeled mesenchymal stem cells in vivo in swines ...