Left Ventricular Ejection Fraction in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#16496
SMLE Question #16496
Medicine / Internal Medicine
Cardiology
Objective: OBJ-AR-TX-CHRONIC
Last updated: February 2026
A 60-year-old man has progressive dyspnea on exertion (NYHA III) and orthopnea. Examination shows a water-hammer pulse, displaced apical impulse, and an early diastolic decrescendo murmur at the left sternal border. Transthoracic echocardiography shows severe chronic aortic regurgitation with left ventricular ejection fraction 40%. What is the most appropriate treatment?
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