PMC8558586_01
ECG on admission: First degree atrioventricular (AV) block (PR interval 220 ms) with T wave abnormalities. Minimal voltage criteria for LVH.. Abbreviation: ECG = electrocardiogram.
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Initial work up was significant for sinus rhythm with first degree AV block and T wave abnormalities (Figure 1).
CT angiography of the chest with evidence of multifocal patchy ground glass attenuation (see arrows) within both lungs and areas of coalescing airspace consolidation.. Abbreviation: CT = computed tomography.
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Computed tomography (CT) angiography of the chest (Figure 2) was obtained and revealed an ecstatic and atherosclerotic thoracic aorta, mild fusiform dilatation of the descending thoracic aorta as well as patchy ground glass attenuation within both lungs with areas of coalescing airspace consolidation.
Doppler echocardiography: Continuous-wave measurement of aortic valve Vmax from the apical echo window.
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AS with preserved ejection fraction of 65%, grade III left ventricular diastolic dysfunction, and severely dilated left atrium (Supplemental Video 1). Aortic valve area was measured as 0.73 cm2 with a mean valve gradient of 36 mm Hg and Peak valve gradient of 70 mm Hg (Figure 3).