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42 yr male, norm ekg & stress test, no symp, norm echo (ef 65-70%) except for grade 3 probable severe mr, prolapse of anterior leaflet, moderate concentric hypertrophy lv, la cavity mildly dilated, aortic root mildly dilated.given losartan what next?

Q: 42 yr male, norm ekg & stress test, no symp, norm echo (ef 65-70%) except for grade 3 probable severe mr, prolapse of anterior leaflet, moderate concentric hypertrophy lv, la cavity mildly dilated, aortic root mildly dilated.given losartan what next?

: This patient likely has uncontrolled hypertension for a long time. I would guess he had cardiac work-up due to dyspnea on exertion and possible orthopnea. EF looks good by number but it does not because of grade 3 mitral regurgitation. He should be referred to a cardiac surgeon for mitral valve repair or replacement, I think.

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Dr. Hiep Le answered

Specializes in Nephrology and Dialysis

This patient likely has uncontrolled hypertension for a long time. I would guess he had cardiac work-up due to dyspnea on exertion and possible orthopnea. EF looks good by number but it does not because of grade 3 mitral regurgitation. He should be referred to a cardiac surgeon for mitral valve repair or replacement, I think.

Answered 11/23/2022

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A member asked:

42 yr male, norm ekg & stress test, no symp, norm echo (ef 65-70%) except for grade 3 probable severe mr, prolapse of anterior leaflet, moderate concentric hypertrophy lv, la cavity mildly dilated, aortic root mildly dilated.given losartan what next?

A doctor has provided 1 answer

Dr. Hiep Le answered

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