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The patient stated he had a long history of well-controlled hypertension for which he was compliant with his ACE-inhibitor. You will note that it is essentially an unremarkable electrocardiogram except for some PACS. A majority of patients with MAT have longstanding pulmonary disease.
Chronic Pulmonary Disease Lung diseases like chronic obstructive pulmonary disease (COPD) can lead to pulmonary hypertension, which in turn can cause the right side of the heart to enlarge, a condition known as cor pulmonale. Beta-blockers , which slow the heart rate and reduce blood pressure.
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