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A 76-year-old woman was admitted for progressive dyspnoea. Physical examination revealed basal pulmonary crepitations and peripheral oedema. Blood pressure was 135/75 mm Hg and heart rate 60 bpm. B-type natriuretic peptide (BNP) was 600 pg/mL; blood tests were otherwise unremarkable. The ECG showed continuous ventricular pacing and the echocardiogram revealed mild LV hypertrophy with a normal EF. Colour and continuous wave Doppler (CD, CWD) at different phases of the cardiac cycle are presented (figure 1).
Medical history included hypertension and a …
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