You are working in the ER when a 42 year old female comes ...
Chest pain. Palpitations. CHF. Loud S4. Arrhythmias. Systolic ejection murmur – decreases when squatting or lying down due to increase in ventricular filling. Diagnosis. Echocardiogram – LVH. Management. Asymptomatic – no treatment. BB and CCB – improve diastolic filling. Reduce myocardial contraction. If patients do not respond ... ................
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