A 72 year old woman presents with dyspnea at rest. An echocardiogram shows a dilated LV with an EF of 25% and enlarged left atrium. Transmitral E velocity = 100cm/s; A velocity = 40cm/s; Lateral e’ = 11cm/s, and TR peak velocity = 3.5m/s. These findings are indicative of:
a) Normal LV relaxation and mean LA pressure. Patient has pulmonary hypertension.
b) Impaired LV relaxation and mean LA pressure. Patient has pulmonary hypertension.
c) Normal mean LA pressure and pulmonary pressures. Patient has pulmonary valve stenosis.
d) Impaired LV relaxation, elevated mean LA pressure and pulmonary hypertension.
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