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Question:
A 44-year-old man presents with 6 months of DOE - now NYHA Class II. On exam, his BP is 99/70, P 70, and JVP 12 cm. There was no murmur, but an S3 was present. He was found to have an abnormal ECG and an echocardiogram which showed a normal LV cavity size with a severe increase in LV wall thickness (22 mm) and EF 66% but no evidence of an LVO obstruction.
Based upon the ECG, what would be the next step in management for this patient?
ECG
- RV biopsy
- Send for septal myectomy
- Catheterization with isoproterenol infusion
- Evaluate for cardiac transplantation
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1. Source: "Comparative Analysis of Pre/Post Assessments of Live/Didactic Course Attendees when compared to Mico-Learning/Online Course Users., "Knowledge to Practice, 2017.