Σημείο Nicoladoni-Branham: Ένα “Ξεχασμένο”(;) Κλινικό Σημείο

  A 37 year old patient on dialysis due to polycystic kidney disease presented wirh acute pulmonary oedema. He was experiencing worsening dyspnoea and fatigue 2 months now. The echocardiographic examination demonstrated biatrial enlargement, left ventricular enlargement with globally reduced ejection fraction, features not present 3 years ago, when a left brachiocephalic fistula was created. High output cardiac failure was suspected when the fistula flow was measured to be more[…]

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