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Question category: Cardiology

A 50 year old female prents with shortness of breath, fatigue and peripheral oedema. On examination she has a raised JVP, pitting oedema, hepatomegaly and ascites. An echo is organised and reveals globally thickened walls oncluding the interatrial septa with atrial dilatation but the ventricles are not dilated. There is an increased scintillation pattern (granular speckling). There is a normal ejection fraction. An ECG shows low voltage complexes. Given the most likely diagnosis, which drug should she be advised to avoid?


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