75M Recent Breathlessness Metabolic syn, past stroke, current OA Telangana PaJR

11-02-2026

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS GUARDIAN'S VIDEO CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[4.46 pm, 11/02/2026] PPM 1: Handwritten history: Gradual onset of breathlessness from NYHA II to NYHA III                                             Clinical examination
                                           

  Chest X-ray February 4, 2026 suspicious upper mediastinal enlargement?

                                          

                                                                Chest X-ray February 6      

[4.52 pm, 11/02/2026] PPM 1: @PPM4 can someone share his serial ECGs and echocardiography video here?

https://youtube.com/shorts/b00uS8bKvnQ?si=gZJ-kX8BhJncUB3-

[4:54 pm, 11/02/2026] PPM 4: Having poor echo window sir...

[4:57 pm, 11/02/2026] PPM 1: Thanks

Lot's of visceral fat in this cardiac viscera contributing perhaps to the poor echoes but while LVH still stands out clearly, there doesn't appear to be anything remarkable about the RV here?

Please share the ECGs if possible.

                                              06/02/2026                                                    10/02/2026

     

[3.46 pm, 11/02/2026] PPM 1: CT video of the 75M patient
https://youtube.com/shorts/ygOC4OXB7lw?si=EB4F92NYQPg7g7j1