Possible diagnosis? Male, 54 years old, administrator. Suffers from hypertension for 3 years, notes an increase in blood pressure to 160/100 mm Hg. At the last visit to the doctor (6 months ago), enalapril 10 mg / day was recommended, which the patient did not take regularly. Has a burdened heredity: the mother suffers from arterial hypertension suffered a stroke. Does not smoke. In the anamnesis - peptic ulcer of the 12th duodenum. Deterioration of the condition during the week. Complaints of headache in the occipital region, attacks of palpitations. Objectively: The blood pressure on both hands is 170/100 mmHg. The boundaries of the heart are expanded to the left. The heart tones are muted, rhythmic, the accent of the II tone on the aorta. Heart rate - 88 in min. There is vesicular breathing in the lungs, no wheezing. ECG: the rhythm is sinus, correct. Heart rate 80 v min. Hypertrophy of the left ventricle.
