A young athlete with Giddiness

A young athlete aged 33 years Chief Complaints Frequent episodes of Ghabrahat & Giddiness Pain Chest radiating to back (x 2 months) Physical Examination A systolic murmur in Aortic area

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RVH with strain St depression r may be rate related Atrial Tachycardia with 2 :1av conduction AS is most likely dx Advise Echo

Thank you doctor
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