HFPEF with Daibetic triopathy,HTN.
IP no- 202003539 Here we discuss an interesting patient with signs and symptoms suggestive of heart failure but has normal systolic function . To start with , A 53year old male patient who is driver by occupation came with complaints of Left foot ulcer since 1 year that is non healing , painless. Left lower limb swelling since 6 months that progresses to right lower limb since 2 months Shortness of breath since 6 months-Initially patient was able to climb stairs at home without shortness of breath,since 6 months patient noticed shortness of breath on climbing stairs that worsened over 2 months ,now patient is unable to climb stairs and takes pause in between ,he also complaints of orthopnea ,paroxysmal nocturnal dyspnoea,and dry cough whenever he sleeps on supine position. .patient also complaints that he is being unable sleep on flat surfaces and is being using 3 pillows , there is no history of chest pain ,palpitations,wheeze and seasonal variation of SOB Abdominal