An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition
A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2024-03-01
|
Series: | JACC: Case Reports |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084924000032 |
_version_ | 1797334761881993216 |
---|---|
author | Woosun Kang, MD, MPH Yu Zong, MD Dhruvil Ashishkumar Patel, MD Tushar Mishra, MD Luis Afonso, MD |
author_facet | Woosun Kang, MD, MPH Yu Zong, MD Dhruvil Ashishkumar Patel, MD Tushar Mishra, MD Luis Afonso, MD |
author_sort | Woosun Kang, MD, MPH |
collection | DOAJ |
description | A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-up revealed scurvy, with a dramatic resolution of symptoms shortly after vitamin C supplementation. |
first_indexed | 2024-03-08T08:25:53Z |
format | Article |
id | doaj.art-dba387a4167d4781b1885de5e2d3c426 |
institution | Directory Open Access Journal |
issn | 2666-0849 |
language | English |
last_indexed | 2024-03-08T08:25:53Z |
publishDate | 2024-03-01 |
publisher | Elsevier |
record_format | Article |
series | JACC: Case Reports |
spelling | doaj.art-dba387a4167d4781b1885de5e2d3c4262024-02-02T04:40:23ZengElsevierJACC: Case Reports2666-08492024-03-01295102222An Unusual Etiology of Severe Right Heart Failure Deserving of Wider RecognitionWoosun Kang, MD, MPH0Yu Zong, MD1Dhruvil Ashishkumar Patel, MD2Tushar Mishra, MD3Luis Afonso, MD4Department of Cardiology, Wayne State University, Detroit, Michigan, USADepartment of Internal Medicine, Wayne State University, Detroit, Michigan, USADepartment of Internal Medicine-Pediatrics, University of Chicago, Chicago, Illinois, USADepartment of Cardiology, Wayne State University, Detroit, Michigan, USADepartment of Cardiology, Wayne State University, Detroit, Michigan, USA; Address for correspondence: Dr Luis Afonso, DMC Heart Hospital, 311 Mack Avenue, Detroit, Michigan 48201, USA.A previously healthy 31-year-old man presented with worsening shortness of breath and a petechial rash. Echocardiography showed severe right-sided heart failure with midsystolic notching of the antegrade right ventricular outflow Doppler envelope suggesting pulmonary hypertension. An extensive work-up revealed scurvy, with a dramatic resolution of symptoms shortly after vitamin C supplementation.http://www.sciencedirect.com/science/article/pii/S2666084924000032pulmonary hypertensionright-sided heart failurescurvyvitamin C deficiency |
spellingShingle | Woosun Kang, MD, MPH Yu Zong, MD Dhruvil Ashishkumar Patel, MD Tushar Mishra, MD Luis Afonso, MD An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition JACC: Case Reports pulmonary hypertension right-sided heart failure scurvy vitamin C deficiency |
title | An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition |
title_full | An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition |
title_fullStr | An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition |
title_full_unstemmed | An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition |
title_short | An Unusual Etiology of Severe Right Heart Failure Deserving of Wider Recognition |
title_sort | unusual etiology of severe right heart failure deserving of wider recognition |
topic | pulmonary hypertension right-sided heart failure scurvy vitamin C deficiency |
url | http://www.sciencedirect.com/science/article/pii/S2666084924000032 |
work_keys_str_mv | AT woosunkangmdmph anunusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT yuzongmd anunusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT dhruvilashishkumarpatelmd anunusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT tusharmishramd anunusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT luisafonsomd anunusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT woosunkangmdmph unusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT yuzongmd unusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT dhruvilashishkumarpatelmd unusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT tusharmishramd unusualetiologyofsevererightheartfailuredeservingofwiderrecognition AT luisafonsomd unusualetiologyofsevererightheartfailuredeservingofwiderrecognition |