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An 80-year-old man is being evaluated for follow up health maintinance. he states that he feels shortness of breath after walking a short distant and should stop to catch up the breath. The patient has long-standing hypertension and iritable bowel syndrome but has not always been adherent to his medical regimen. he was smoking 30 packs per year and stopped 15 years ago after his friend died with a myocardial infarction. Blood pressure is 160/74 mm Hg and pulse is 86/min and regular. An S4 is heard on cardiac auscultation. The lungs are clear. Echocardiogram reveals left atrial enlargement, moderate concentric left ventricular hypertrophy, and a left ventricular ejection fraction of 67%. Which of the following changes are most likely to be seen in this patient?
Questionable Practices
Activities or behaviors that are dubious in nature and may be considered as unethical, unprofessional, or legally gray.
Corporate Philanthropy
A company's initiative to assess and take responsibility for its effects on environmental and social well-being, often involving charitable donations or community service programs.
Continuum of Social Responsibility
A spectrum reflecting the varying degrees of commitment or approaches organizations can take toward social responsibility.
Reaction
The response or change in behavior that occurs as a result of an external stimulus or situation.
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