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Section Edition: Alfredo José Mansur (ajmansur@incor.usp.br) Associated Editors: Desidério Favarato (dclfavarato@incor.usp.br) Vera Demarchi Aiello (anpvera@incor.usp.br) The patient started to present shortness of breath, which initially appeared at great efforts and progressed until it was also triggered by mild efforts. Fatigue and asthenia were associated to this picture. Four months before, the individual had presented several episodes of syncope triggered by physical exertion.

Caso 1/2009 - homem de 33 anos com dispnéia e síncopes aos esforços que apresentou piora súbita da dispnéia