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Chest pressure and dyspnoea in a 47-year-old man
  1. Sushan Yang,
  2. John K Feller,
  3. Eric Krieger
  1. Cardiology, University of Washington, Seattle, Washington, USA
  1. Correspondence to Dr Sushan Yang, Cardiology, University of Washington, Seattle, WA 98195, USA; susany90{at}gmail.com

https://doi.org/10.1136/heartjnl-2019-316086

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    Clinical introduction

    A 47-year-old man presents with exertional dyspnoea and chest pressure. He also reports occasional palpitations and postural syncope. Cardiovascular exam is notable for a blood pressure of 116/76 mm Hg, regular rate and rhythm, normal S1 and S2, with no jugular venous distension and no oedema. A murmur is noted. ECG shows left ventricular hypertrophy and repolarisation abnormalities. A transthoracic echocardiogram was obtained, and an M-mode recording of the mitral valve is …

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    Footnotes

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Not required.

    • Provenance and peer review Not commissioned; internally peer reviewed.