MEDICINE
CARDIOLOGY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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A harsh early systolic murmur associated with a prominent systolic ejection click, which is most evident while the patient is squatting
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A harsh holosystolic murmur heard best at the apex and lower left sternal border associated with a prominent ejection click
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A harsh holosystolic murmur associated with an early decrescendo diastolic murmur heard best along the mid-lower right sternal border
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A harsh holosystolic murmur heard best at the left lower sternal border, which decreases during assumption of the erect position
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A harsh crescendo-decrescendo systolic murmur heart best at the apex and lower left sternal border, increases in intensity with the Valsalva maneuver
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Detailed explanation-1: -RESTRICTIVE CARDIOMYOPATHY Echocardiographic features include biatrial dilatation, hypertrophied ventricles with decreased compliance, initially small LV cavities, and normal to depressed systolic function.
Detailed explanation-2: -The current diagnostic criteria for HCM are an increase in LV wall thickness ≥ 15 mm in at least one myocardial segment or ≥ 13 mm for patients with a first-degree relative with confirmed HCM, in the absence of abnormal loading conditions/other causes of LVH (e.g., hypertension, valvular heart disease) [1, 17].
Detailed explanation-3: -Hypertrophic cardiomyopathy (HCM) is an inherited heart disease defined by increased left ventricular (LV) wall thickness (≥15 mm in one or more LV myocardial segments), that cannot be explained by abnormal loading conditions (1).
Detailed explanation-4: -Sudden cardiac death (SCD) in a young person is a rare but tragic occurrence.