QUESTION 4

A 52 y.o. male patient suffers from squeezing pain attacks in substernal area which irradiates to the left hand and occurs occasionally and on physical exercises. He has had it for 1 year. On examination: heart borders are enlargement to the left side, sounds are muffled, Ps-76 bpm, rhythmic, AP- 155/80 mm Hg, ECG: the left type, the rest signs ... ................
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