Pulsation of the nailbed

摘要

A 66-year-old man, with a history of hypertension and dyslipidaemia, was seen in our outpatient department. After a myocardial infarction in 2009, percutaneous transarterial coronary angioplasty and stenting for proximal and distal stenoses of his left anterior descending coronary artery was done. When seen for follow-up, he complained of occasional dyspnoea on exertion. Physical examination showed Quincke's sign, Traube's sign, and Duroziez's sign. Electrocardiogram showed evidence of left ventricular hypertrophy, and chest radiography showed that the apex of the heart was displaced down and to the left (figure). Echocardiography showed severe eccentric aortic regurgitation and moderate mitral regurgitation.