[Solved]: HISTORY OF PRESENT ILLNESS: Patient is a…

HISTORY OF PRESENT ILLNESS: Patient is a 39-year-old black male who relates a history of increasing fatigue as well as occasional palpitations. He denies chest pain, orthopnea, PND, pedal edema, syncope, or presyncope. The patient has a 3-month history of a known cardiac murmur. This has been evaluated through Dr. Blackman’s office. Transesophageal echocardiogram was performed on June 8 at Gaston Medical Center by Dr. Blackman, which showed PA 36/25, mean wedge 19. There is no significant gradient across the aortic value. The left main coronary artery is free of stenosis. The LAD is free of stenosis. The circumflex is free of stenosis. The right coronary artery is free of stenosis. There are no anomalous coronaries noted. Ejection fraction was noted to be 40%. The LV was markedly dilated. The aortic root injection demonstrated severe aortic regurgitation. Because of these findings, the patient is referred for evaluation for aortic valve replacement.