mahendra
Forum Guru
Topics: 173
Posts: 419
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A high school basketball player passes out in the middle of a
game. He is rushed to the emergency room, where he regains consciousness.
He claims that just before he fainted, he had difficulty breathing and
experienced palpitations. On physical exam, he has a bifid apical impulse
and a coarse systolic murmur at the left sternal border. The echocardiogram
reveals ventricular hypertrophy with asymmetric septal thickening. Which
of the following would increase the intensity of his heart murmur?
A. Elevating his legs
B. Increasing sympathetic tone
C. Performing the Valsalva maneuver
D. Squatting
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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I THINK ITS A
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I think the answer is C, with hypertrophic cardiomyopathy and Mitral valve prolapse,.... if you decrease the blood flow to the heart that will Increase the Murmur.... and doing valsalva in other valve problem will decrease the murmur..!
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