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General Medicine General 5e90584c

A 59 year old man with severe myxomatous mitral regurgitation is asymptomatic, with a left ventricular ejection fraction of 45% and an end systolic diameter index of 2.9 cm/m2. The most appropriate t/t is

A
Mitral valve repair or replacement
B
No treatment
C
ACE inhibitor therapy
D
Digoxin and diuretic therapy

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