Clinical data Tiredness and palpitations during physical work for approximately 20 years, without progression. Some episodes of small-volume hemoptysis during this period. Taking enalapril for hypertension and metformin for diabetes. Physical examination: good general condition, eupneic, acyanotic. Weight: 56 Kg, Height: 160 cm, blood pressure (right arm): 140/90 mm Hg, HR: 95 bpm, oxygen saturation = 99%. […]