Eighty-two-year-old man with a systolic murmur

Eighty-two-year-old man with a systolic murmur

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Medical Introduction

An 82-year-old man with a historical past of coronary artery bypass surgical procedure, hypertension and small bowel gastrointestinal stromal tumour underwent cardiac danger analysis previous to surgical resection of his tumour. He was asymptomatic from a cardiovascular perspective, however his exercise degree was lower than 4 metabolic equivalents. Bodily examination was notable for a 2/6 systolic murmur on the apex. ECG confirmed sinus rhythm. A transthoracic echocardiogram was carried out (determine 1 and on-line ).

Determine 1

Transthoracic echocardiography. (A) Mitral valve steady wave Doppler and (B) tricuspid valve steady wave Doppler.

QUESTION:

The findings in determine 1 are almost certainly on account of which of the next?

  • Atrioventricular conduction block.

  • Acute extreme aortic regurgitation.

  • Patent ductus arteriosus.

  • Atrial flutter.

  • Extreme mitral stenosis.

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