Case and Plan:
Patient: MN, 61 yro AF
Presentation: Worsening NYHA Class Ill symptoms of heart failure
PMH: HTN, HLD, DM, Takayasu arteritis with carotid, subclavian and iliac involvement cib CVA, PAD s/p bilateral iliac stents + PTAs (last 8/2021), severe AS s/p TAVR (28mm Saplen-3 Ultra Resilia) in 6/2022
Medications: Aspirin, Clopidogrel, Atorvastatin, Mycophenolate Mofetil, Sitagliptin, Cilostazol, Tamsulosin
Labs: Hgb 12.9, PLT 199, K 4, Cr 0.8
EKG (10/29/21): SR, PR-180ms, QRS 98ms
TTE/TEE (7/15/26): s/p TAVR severe paravalvular AR (PG/MG/PV:
16/8/0.79), mildimed MR, LVEF 65%
Cath: Non-obstructive CAD
