6 Months Of Progressive in Medicine / Internal Medicine — 78yo Woman | Cardiology | SMLE Q#17712
SMLE Question #17712
Medicine / Internal Medicine
Cardiology
Objective: OBJ-IM-CARD-102
Last updated: February 2026
A 78-year-old woman presents with 6 months of progressive exertional dyspnea and orthopnea (needs 3 pillows). She reports reduced exercise tolerance and mild bilateral ankle swelling. She has a long history of hypertension. Examination shows mildly elevated jugular venous pressure, bibasilar crackles, and 1+ pitting edema. Transthoracic echocardiography shows concentric left ventricular hypertrophy with a left ventricular ejection fraction of 60% and abnormal diastolic filling parameters. What is the most likely diagnosis?
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