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Section Editor: Alfredo José Mansur (ajmansur@incor.usp.br) Associated Editors: Desidério Favarato (dclfavarato@incor.usp.br) Vera Demarchi Aiello (anpvera@incor.usp.br) A 78-year-old woman sought medical attention for severe dyspnea. She had morbid obesity, hypothyroidism, and long-standing hypertension, and was taking captopril 150 mg, furosemide 40 mg, digoxin 0.25 mg, and levothyroxine 75μg daily.

Caso 4: mulher de 78 Anos, obesa, com dispnéia súbita intensa