A 40-year-old male presents to your medical clinic to establish care. He has no known prior medical history and does not take any medications. He complains of occasional shortness of breath on walking more than 2 blocks. He has never had any chest pain. He has never smoked and denies any alcohol or drug abuse history. He was adopted and does not know anything about his parents or siblings. He takes occasional multivitamins. His vitals in your office are BP 110/80 mm Hg, HR 90/min. He is in no acute distress on physical examination. He has a normal JVD, clear lungs and a harsh crescendo-decrescendo systolic murmur that begins slightly after S1 and is heard best at the apex and lower left sternal border. ECG is shown below. Which of the following is the best statement to describe further clinical management?
A. No further workup is indicated
B. Echocardiogram is indicated (Correct)
C. Start furosemide for diuresis
D. Start aspirin and Plavix
Answer:B
A 40-year-old male presents to your medical clinic to establish care. He has no known prior medical history and does not take any medications. He complains of occasional shortness of breath on walking more than 2 blocks. He has never had any chest pain. He has never smoked and denies any alcohol or drug abuse history. He was adopted and does not know anything about his parents or siblings. He takes occasional multivitamins. His vitals in your office are BP 110/80 mm Hg, HR 90/min. He is in no acute distress on physical examination. He has a normal JVD, clear lungs and a harsh crescendo-decrescendo systolic murmur that begins slightly after S1 and is heard best at the apex and lower left sternal border. ECG is shown below. Which of the following is the best statement to describe further clinical management?
A. No further workup is indicated B. Echocardiogram is indicated (Correct) C. Start furosemide for diuresis D. Start aspirin and Plavix