MRCP2-0384

MRCP2-0384

A 68-year-old man with a history of hypertension presents to the Cardiology Department with an incidental finding of a diastolic murmur during a routine check-up. He denies any symptoms of chest pain, shortness of breath, or irregular heartbeat. He is currently taking amlodipine and lisinopril for his hypertension and has no other medical history of note.

During the examination, the patient appears comfortable at rest with a blood pressure of 145/70 mmHg and a heart rate of 80 bpm. Upon palpation, there is a heaving precordium, and a diastolic murmur is heard at the left sternal edge, present for half of diastole. An electrocardiogram reveals sinus rhythm with evidence of left ventricular hypertrophy.

Further testing with an echocardiogram shows a normal-sized left ventricle with good function, but moderate aortic regurgitation and no other significant valve pathology.

What should be included in the management plan for this patient?