Q:

A 75 year old man collapsed while walking in his garden. He recovered fully within 30 minutes diagnostic investigation that will assist you with his condition?

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A 75 year old man collapsed while walking in his garden. He recovered fully within 30 minutes

with BP 110/80 mmHg and regular pulse of 70bpm. He has a systolic murmur on examination.

His activities have been reduced lately which he attributes to old age. What is the definitive

diagnostic investigation that will assist you with his condition?


  1. ECG
  2. Echo
  3. 24h ECG monitoring
  4. 24h BP monitoring
  5. Prv CIN

All Answers

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The key is B. Echo. [2 mainD/D of exertional syncope are Aortic stenosis and hypertrophic

cardiomyopathy. Aortic stenosis – more likely in elderly. And hypertrophic cardiomyopathy – more

likely in young and less likely at this age. Echocardiography will reveal the condition of aortic stenosis in

this patient].

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