Correct!
5. All of the above
The etiology of her shortness of breath is not well-defined based on the information provided. Her BNP was elevated at 200 pg/ml (normal <74 pg/ml for a 51-year-old woman). Her electrocardiogram shows dagger-like septal Q waves in the lateral and inferior leads and left ventricular hypertrophy. Chest x-ray shows cardiomegaly and enlarge pulmonary arteries bilaterally. Echocardiogram shows severe left ventricular outflow tract obstruction with a resting gradient of 159 mm Hg with moderate to severe mitral valve regurgitation due to systolic anterior motion of the mitral valve. She has pulmonary hypertension and marked left atrial enlargement.
Which of the following are indicated? (Click on the correct answer to proceed to the third of seven pages)