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March 29, 2024

A 58-year old woman with diabetes and a history of myocardial infarct presents with complaint of shortness

A 58-year old woman with diabetes and a history of myocardial infarct presents with complaint of shortness of breath and edema. She denies A 58-year old woman with diabetes and a history of myocardial infarct presents with complaint of shortness of breath and edema. She denies chest pain. Physical exam reveals inspiratory crackles in both lungs and an S3. BP is 100/60, HR 106, RR 24. Chest X-ray shows cardiomegaly and ECG shows old MI and sinus rhythm. Echocardiogram shows a hypodynamic left ventricle with an ejection fraction of 35%. Which of the following diagnosis is most likely? 25 26 Answers: A – D A heart failure with reduced ejection fraction (HFrEF) B heart failure with preserved ejection fraction (HFpEF) C Both B and C D Neither B or C chest pain. Physical exam reveals inspiratory crackles in both lungs and an S3. BP is 100/60, HR 106, RR 24. Chest X-ray shows cardiomegaly and ECG shows old MI and sinus rhythm. Echocardiogram shows a hypodynamic left ventricle with an ejection fraction of 35%. Which of the following diagnosis is most likely? 25 26 Answers: A – D A heart failure with reduced ejection fraction (HFrEF) B heart failure with

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