Endocrine Abstracts

A 47-year-old businessman was admitted to the cardiology ward with a 3-week history of worsening dyspnoea, orthopnoea, paroxysmal nocturnal dyspnoea and swollen ankles. Clinical examination revealed sinus tachycardia, hypertension (190/100 mmHg), bibasal crepitations and ankle oedema. CXR showed cardiomegaly and pulmonary oedema while ECG showed left ventricular hypertrophy. Renal function and blood–glucose were normal. He was commenced on diuretics. Echocardiogram noted ...