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Author4 Posts
nadiabarati

10/17/06 - 02:15 PM       #1

A 53 year old caucasian male is admitted to the hospital with a 2week history of fatigue and decreased excercise tolerance.He says he can hardly climb two flights of stairs without getting dyspneic.He denies palpitations or chest pain.His past medical history is insignificant and a routine check up 6 months ago was normal.He admits two episodes of binge drinking during the last two months but says that he got it under control.He is currently not taking any medications.His BP is 150/90 and HR is 130/min.irregular..Lungs are clear .ECG show no P waves.Echocardiography show significant left ventricular dilation with an ejection fraction of 35% and mitral regurgitation 1+.Which of the following interventions will most likely improve the left ventricular finction in this pt?
A.preload optimization
B.decreasing afterload
C.rate and rhythm control
D.inotropic support
E.valve surgery
F.coronary revascularization



saadtazjam
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10/17/06 - 04:11 PM       #2

C?

ssrpk
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10/17/06 - 05:22 PM       #3

B.decreasing afterload

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foucesed doc
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10/18/06 - 08:22 PM       #4

chronic AF.
C..









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