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Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic ... Cardiomyopathy ... Metoprolol - VCU Ultrasound ... HCM #clinical #echocardiogram ... #plax #cardiology