Following Questions :A 70-year-old man had the following EKG recorded at his doctor's office. His weight was 80 kg and his blood pressure was 160/90 mmHg. He complained that he gets tired easily.
-What type of heart murmur does this patient have?

Question

Following Questions :A 70-year-old man had the following EKG recorded at his doctor's office. His weight was 80 kg and his blood pressure was 160/90 mmHg. He complained that he gets tired easily. 
-What type of heart murmur does this patient have?

Quizplus · Accepted Answer

The EKG shows prolongation of the QRS complex, which is consistent with bundle branch block. Additionally, the presence of a wide split S2 suggests aortic regurgitation. This is further supported by the patient's symptoms of fatigue, which can occur in aortic regurgitation due to decreased cardiac output. Both tricuspid valve regurgitation and pulmonary valve stenosis would not be associated with the EKG findings or symptoms described, and pulmonary valve regurgitation would likely present with a murmur and other physical exam findings. Therefore, the best choice is E) aortic regurgitation.

Following Questions :A 70-Year-Old Man Had the Following EKG Recorded