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4.3
8 reviewssurrounding the fall, but states that he has been getting chest tightness on exertion lately. This is his third such
collapse in six months. He has a background of previous non-ST elevation myocardial infarction (NSTEMI) and
has an ejection systolic murmur on auscultation.
On examination, his lying blood pressure (BP) is 135/85 mmHg, while his standing (BP) is 133/80 mmHg.
An echocardiogram (ECHO) reveals an ejection fraction of approximately 40%, moderate left ventricular (LV)
systolic function, and moderate aortic stenosis
