Physician voices

The heart was fine—but something deeper was wrong

Sometimes, the stethoscope doesn't catch what the heart is really saying. It was just another morning during my surgery posting. I was reviewing pre-op workups when I was asked to assist with the echo evaluation of an elderly woman scheduled…

Sometimes, the stethoscope doesn’t catch what the heart is really saying.

It was just another morning during my surgery posting. I was reviewing pre-op workups when I was asked to assist with the echo evaluation of an elderly woman scheduled for a routine procedure. Her echo report flashed across the screen: smooth curves, rhythmic contractions, and valves opening and closing like well-oiled gates. The left ventricular ejection fraction was over 60 …

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The heart was fine—but something deeper was wrong