Cardiology Case Scenario- Make your Diagnosis

A 60 year old gentleman with  history of hypertension and diabetes mellitus presents to the emergency room with retrosternal chest pain . He is afebrile, blood pressure is 110/70 mmHg, heart rate 70/min, and respiratory rate 18/min. Physical examination reveals normal lung sounds, normal jugular venous pressure, and an S4 heart sound. Laboratory studuies are initially normal. His ECG is below. What complication is most commonly associated with this patient's diagnosis?

 A) Acute mitral regurgitation

 B) Left ventricular thrombus

 C) Left ventricular aneurysm

 D) Left ventricular Free Wall rupture

Please leave your Answers  in the Box Below.   

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19 year old boy Passes out while running- Next Step in Management ?

A 19 year old boy with no past medical history passes out while running at a school evnt. He states that he was feeling a little dizzy prior to the event, but does not complains of chest pain or palpitations. His blood pressure is 120/85, heart rate 85/min, Respiratory Rate 12/min, and he is afebrile. His physical examination reveals normal lung sounds, a II/VI mid-sytolic creshendo-decreshndo murmur is heard at the right upper sternal border which increases in intensity with Valsalva, an S4 heart sound is also present. Laboratory studies are normal. What is the most appropriate treatment at this time?

 A) Start a Diuretic

 B) Permanent Pacemaker Implantation

 C) AICD Implantation

 D) Observation
 
 E) Start  Beta Blocker


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