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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes persistent headache, barking cough and low grade fever in an elderly person?

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Dr. Sagar Makode

Cardiologist

Practicing since :2013

Answered : 1730 Questions

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Posted on Fri, 3 Aug 2018 in Hypertension and Heart Disease
Question: hi

im 51. f.

8 months of sob..tachy..palps..low grade fever..barking cough..post sudden onset of joint pain..headaches in late april..received stems (auto) in may with flu like symptoms for joint pain..

2 days later developed rapid af (isolated episode)

2 days later, feelings of suffocation..sob..tachy..palps woth mild exertion..fever..barking cough...

long story short...tested pos for 3 strains borrelia..relapsing fever..babesia..and mycoplasma pneumoniae.

echo doppler today revealed raised LVOT in the absence of sugns of PAH and CHF (ejection fraction over 60)

weakly pos p XXXXXXX antibodies. rheumy appt pending.

currently on 200mg doxy. not helping. worried.

what could elevated lvot mean?

cardiac contour normal. atrial ectopics on holter. no further raf. normal stress echo.

please help me.
doctor
Answered by Dr. Sagar Makode 1 hour later
Brief Answer:
Its basically means some obstruction to blood flow

Detailed Answer:
Hello,

Please upload the whole echo report so that I can guide you better.

Increased LVOT basically means some obstruction to blood flow. Its can occur in multiple condition like simply age related due to calcification, condition like hypertrophic cardiomyopathy, bicuspid aortic valve leading to aortic stenosis, which can very well be diagnosed on echo, so they must have assesed it. I don't think this is anyhow related to your current illness (fever) which doesn't appears to be related to your cardiac findings.

Your symptoms are basically due to systemic illness which can give rise to cardiac symptoms as well. However, please upload the report so that I can see details and severity of LVOT obstruction. If having severe obstruction then some you can have shortness of breath.

Hope this helps you and get back with some more information and if you have any doubts.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Sagar Makode 46 hours later
i will post the echo report when i get it next week

thanks
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