Abstract
A 43-year-old man was admitted for investigation of chest pain. This had occurred, on exertion, for about 1 year but prior to this he had been completely well. There was also a recent history of blackouts. Examination revealed normal pulses and blood pressure was 120/80. An ejection systolic murmur was heard in the aortic area radiating to the neck and an early diastolic murmur was heard along the left sternal edge. An electrocardiogram (ECG) showed left ventricular hypertrophy and strain pattern. His chest X ray is shown. (Figure 1.)
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