Shortness of breath in a 68 y/o man

Test Results 1

Results of appropriate testing return and show the following results:

Test (units) Result Results (SI Units)
Serum brain natriuretic peptide (BNP) level 1420 pg/mL 1420 ng/L
Serum troponin level 0.03 ng/mL 0.03 mcg/L
  • Chest x-ray: Perihilar opacities and small bilateral pleural effusions, no pericardial calcifications.

  • Transthoracic echocardiography: Normal left ventricular size and function with estimated LVEF of 55%. Severe concentric left ventricular hypertrophy. Normal right ventricular size and function. Restrictive LV diastolic pattern with E/A>2, septal e’ of 7 cm/sec and lateral e’ of 9 cm/sec. Biatrial enlargement. Mild mitral regurgitation. Inspiratory decrease of 5% in mitral diastolic flow velocity. No pericardial thickening.