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Medicine General 105ca4bd

A 32 year old carpenter presented to you with history of recurrent attacks of chest pain . You prescribe him sublingual nitroglycerin and advise him to take it at the time of pain. The patient revisits the hospital again after 2weeks and tells that the intensity of chest pain has increased on taking nitroglycerin. The patient is most likely suffering from

A
Aortic regurgitation
B
Hypertrophic obstructive cardiomyopathy
C
Aortic dissection
D
Aortic aneurysm
High-Yield Explanation
Nitrates are vasodilator drugs which aggravate condition of HOCM , so it is generally not used in HOCM

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