If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

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BOF: 189

A young man presents with a history of chest pain. On examination he has a jerky carotid pulse, double apical pulsation and an ejection systolic murmur. Echocardiography demonstrates asymmetric left ventricular hypertrophy and systolic anterior motion of the mitral valve.

In this patient, the chest pain should respond to treatment with:

a)      Isosorbide dinitrate

b)      Isosorbide mononitrate

c)      Amlodipine

d)      Beta blockers

e)      ACE inhibitors

Answer:

d)

The patient has features of hypertrophic obstructive cardiomyopathy . In these patients chest pain responds to treatment with beta-blockers and verapamil either alone or in combination.

Other treatments that may be used are:

Disopyramide

Dual chamber pacing

Alcohol ablation of the septum

Resection of septal myocardium

Revision Tip

Revise HOCM KEYS to SUCCESS in Medicine page 156-157

 

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