Document Detail


Post coital hemoptysis.
MedLine Citation:
PMID:  18055033     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Manish Jhawar; Rajeev Garg; Sumit Tiwari; Kul Aggarwal
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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    
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Coitus*
Hemoptysis / etiology*
Humans
Hypertension, Pulmonary / complications*
Male
Mitral Valve Insufficiency / complications*

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


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