1 MCQs in Medicine for NEET PG
A 38-year-old woman presents with 8 months of progressive exertional dyspnea (NYHA III), exertional chest tightness, and one syncopal episode while climbing stairs. Examination reveals a left parasternal heave, loud P2, and a holosystolic murmur at the lower left sternal edge increasing with inspiration. Her ECG is shown in the diagram marked **A**, demonstrating sinus rhythm with marked right axis deviation (+120°), tall R wave in V1 (>7 mm) with R/S > 1, deep S in V6, T-wave inversion in V1–V3, and P pulmonale. Which of the following investigations is the SCREENING TEST OF CHOICE to evaluate the structural and hemodynamic consequences of the ECG abnormality shown in **A**?
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