Valvular heart disease Quiz: Ace Your Exams
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A 60-year-old man presents to his primary care physician for evaluation of fatigue and exertional dyspnea for six months. He discloses occasional palpitations and difficulty sleeping in a supine position due to shortness of breath. His medical history includes hypertension and myocardial infarction at age 58. Medications include lisinopril, aspirin, and clopidogrel. He has smoked one pack of cigarettes per day for thirty years. He drinks alcohol socially and does not use illicit drugs. Temperature is 37.0°C (98.6°F), pulse is 85/min, respirations are 15/min, and blood pressure is 139/87 mmHg. The patient undergoes cardiac catheterization, with hemodynamic results demonstrated on the diagram below. Which of the following is the most likely diagnosis?


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