AKT-3530

AKT-3530

An 81-year-old man presents to his General Practitioner with increasing oedema and ascites. He reports shortness of breath during exercise. Past medical history reveals that he has a history of hypertension, for which he takes amlodipine, and that he drinks two cans of stout on Friday and Saturday nights. His electrocardiogram (ECG) is normal. His chest X-ray (CXR) reveals a normal heart size and no signs of cardiac failure. Urine dipstick doesn’t detect haematuria.
Investigations:
Investigation Result Normal value
Serum albumin 230 g/l 350–500 g/l
Haemoglobin 12.5 g/dl 13.5–17.5 g/dl
Mean cell volume (MCV) 92 fl 80–100 fl
Total cholesterol 7.8 mmol/l < 5 mmol/l
24-hour urinary protein excretion 5g/24 hours < 0.15g/24 hours
What diagnosis fits best with this clinical picture?