Table 1 Timeline of events with diagnostic tests and interventions
Date of illness | Events | Diagnostic tests | Interventions |
|---|---|---|---|
18/10/2016 | Onset of shortness of breath, cough | ||
21/10/2016 | Admission | Supportive management of acute heart failure | |
22/10/2016 | ESR- 114 mm/1st hour CRP- 18 mg/l Echocardiogram- severe aortic regurgitation | Emperical intravenous antibiotics | |
11/11/2016 | Persistent aortic regurgitation, symptomatic improvement in heart failure | Transoesophageal echo- no vegetation | |
20/11/2016 | Completion of antiobitics | ESR- 102 mm/1st hour Echocardiogram- severe aortic regurgitation | Evaluation for other aetiology |
25/11/2016 | CT aortogram and angiogram- normal | Continued medical management of heart failure | |
27/10/2017 | Detection of left subclavian bruit, blood pressure and pulse difference | Digital subtraction angiogram- significant stenosis of first part of left subclavian and origin of left vertebral arteries | Initiation of glucocorticoids |