Mystery Case: Out of Breath on the Treadmill in Minutes

[@ownagemunky]

That title just describes me on a normal day

[@JeffO-]

Me too. I deal with fatigue and no doctor has found anything yet.

[@PinataOblongata]

Getting out of breath is pretty much the point of getting on a treadmill, so it's working :) Keep it up 👍

[@richardpowell1220]

My mother had been misdiagnosed with lung sarcoidosis, although we knew at the time the diagnosis was not definitive - she was a 2-time cancer survivor and wasn't willing to go through additional invasive testing. She later had complications and we needed to find out for sure, and we discovered she had mycobacterium avium complex (MAC) infection. Interesting that Baraki mentioned the possibility of misdiagnosis in the case study, He would have been right in my mom's case.

[@davidfroriep7972]

Love these

[@timjames4317]

Never knew these were videos. Cool.

[@ponkanpinoy]

Hell of a poker face doc!

[@Foxeyflex]

Is it reasonable to consider stress testing in a non aerobic fashion (graded treadmill)? Some basic lifting task that causes exertion instead (maybe isometric tasks, or something easy to implement)

[@ChaiJung]

Generally, the reason is that treadmill/bike stages correlate well with specific VO2peaks and known risk of development of heart attacks afterwards. For people that can't work on a treadmill, there are other nonexercise options and in theory, could always figure out something for lifting but there's no literature outlining how it would correlate until more tests are done.

[@ChaiJung]

The patchy, im assuming midwall, LGE in a negative PET sounds like burnt out sarcoid, especially if the only RWMA is basal septal. The literature on just about all autoimmune heart conditions outside of pericarditis is kind of scant. Good case though

[@Pickles9999]

Chubbyemu crossover when?