Case 2/2017 – 56-Year-Old Male with Refractory Heart Failure, Systemic Arterial Hypertension and Aortic Valve Stenosis That Led to Heart Transplantation

Clinical aspects

The 56-year-old male patient, who smoked and had arterial hypertension and hypertriglyceridemia, developed heart failure with dilatation of heart chambers and severe systolic dysfunction. His echocardiography showed low-gradient aortic stenosis.

According to the Brazilian Society of Cardiology III Guideline on Heart Failure, a patient with signs and symptoms of heart failure should undergo some tests to characterize the heart failure, such as resting electrocardiography, chest X ray, echocardiography and BNP measurement. Then, laboratory and invasive tests, such as coronary cineangiography and cardiac biopsy, should be performed for etiological diagnosis.

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