| A patient with syncope -
01-06-2007, 08:31 AM
42 yr old male with episode of syncope while at work came to see u. BP high, but not taking drugs properly. H/O DM 2 controlled by diet. O/E Dyspnea n dizziness on exertion. BP 163/95, HR 75 bpm. Cardio exam: sustained max impulse and grade 4 systolic ejection murmur at LSB, which increases with Valsalva manouver. ECG shows LVH. What should be the most appropriate mgmt for his HTN?
(1) ACE-I
(2) BB
(3) CCB
(4) Diuretic |