52-year-old man with a history of hypertension, diabetes, and a myocardial infarction 2 years ago presents with progressive shortness of breath for 3 months, now occurring at rest, along with orthopnea and leg swelling. On examination, he has a raised JVP, displaced apex beat, S3 gallop, and bilateral basal crepitations. Echocardiography reveals a dilated left ventricle with global hypokinesia and an ejection fraction of 30%.
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Dcmp
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congestive heart failure (CHF), likely due to ischemic cardiomyopathy secondary to a prior myocardial infarction
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