#3 History #############################################################
Patient 3:

     This patient is a 67 year old man who complained of awareness 
of a rapid pulse rate, and a forceful heart beat. In addition, he reported 
that his exercise tolerance had decreased, and that he would get short of
breath and fatigued more easily than ever before. He had no previous history of
heart disease. A previous physical examination done a year ago had discovered
a pulsatile abdominal mass, with an audible bruit in its vicinity. He had
had good femoral pulses bilaterally at that time. Examination now confirms the
presence of the pulsatile mass and bruit. The cardiac exam reveals a rapid 
heart rate with a very forceful apical impulse. There was a grade 2/6 systolic
murmur heard at the apex and over the second intercostal space to the left of 
the sternum. No diastolic murmurs were heard. Prominent capillary pulsations 
were noted in the nail beds and under the tongue. Femoral pulses were present
bilaterally, athough the left was weaker than the right. The patient was taken
to the catheterization lab for confirmation of the diagnosis.

#3 Data 
microvascular resistance 0.1
venous capacitance 70
venous zpvolume	1500
pmicro resistance 0.04
lv csystolic 	0.2
rv csystolic	0.6
system volume 	5500
system hr	120.0

