Sytolic murmur and Syncope (55/1700)

A 75yo man collapsed while walking in his garden. He recovered fully within 30 mins with BP
110/80 mmHg and regular pulse of 70bpm. He has a systolic murmur on examination. His
activities have been reduced lately which he attributes to old age. What is the definitive
diagnostic inv that will assist you with his condition?
a. ECG
b. Echo
c. 24h ECG monitoring
d. 24h BP monitoring
e. Prv CIN





















Ans. 1. B. Echo.
DD: aortic stenosis (more likely in this age), hypertrophic cardiomyopathy

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