[Case Report] Reversible right heart failure after medullary stroke

In May, 2013, a 73-year-old woman presented to our clinic with drowsiness. She had had a left medullary stroke due to atrial fibrillation 7 months earlier (figure) and was taking oral anticoagulants. Since her stroke she had had fragmented sleep and excessive daytime sleepiness, and during the previous 4 months had developed facial and generalised oedema, which had become much worse in the week before admission, and was associated with anuria and drowsiness. On examination she was afebrile, blood pressure was 141/121 mm Hg, pulse was 80 beats per min and irregular, and jugular venous pressure was raised.
Source: LANCET - Category: Journals (General) Authors: Tags: Case Report Source Type: research