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Cardiovascular Diseases
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Which of these statements about the natriuretic peptides is TRUE?
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What is the primary pathophysiological mechanism of heart failure with preserved ejection fraction (HFpEF)?
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Which patients with hypertrophic cardiomyopathy should have an ICD implanted?
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A 54-year-old man presents with shortness of breath while walking to the second floor. He has with no significant past medical history. ECG shows sinus rhythm, heart rate 80 bpm and marked signs of left ventricular hypertrophy. Echocardiogram demonstrates left ventricular hypertrophy with asymmetrical septal thickening causing significant left ventricular outflow tract obstruction. What is the most likely diagnosis and what is the first choice medical treatment?
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A 63-year-old woman presents with progressive fatigue, dyspnea, and peripheral edema. Echocardiogram reveals preserved ventricular size, biatrial enlargement, normal systolic function, and markedly elevated ventricular filling pressures. Which of the following is the most likely diagnosis?
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A 49-year-old male with chronic alcohol abuse presents with progressive shortness of breath, fatigue, and peripheral edema. Echocardiography reveals a dilated left ventricle with severely reduced ejection fraction. Coronary angiography revealed absence of obstructive atherosclerotic coronary artery disease. What is the most likely diagnosis?
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Arrhythmogenic right ventricular cardiomyopathy is pathologically characterized by:
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A 65-year-old man presents with fatigue, palpitations, and carpal tunnel syndrome. Echocardiogram demonstrates biventricular hypertrophy with preserved systolic function, while ECG reveals low QRS voltage in limb leads. What disease will you suspect in the patient?
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Which of the following findings are typically observed in patients with dilated cardiomyopathy?
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A 22-year-old previously healthy male presents following a near-syncopal event during exertion. ECG shows T-wave inversions in anterior chest leads (V1–V3) and epsilon waves. Echocardiogram reveals dilation and dysfunction of the right ventricle. What is the most likely diagnosis?
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