A 78 year old male with congestive heart failure came with dyspnoea and palpitations. In auscultation : aortic murmur is heard. Chest x rat shows enlarged left ventricle & aortic calcifications. ECG attached. What you say?

MNEMONIC ON : Rx OF CONGESTIVE HEART FAILURE. ( I ). MAY BE USEFUL.

Pt. Have radiating type of pain from left side chest to arm. Having dyspnea durin hard work.

M.56 Cough at night with wheeze. 10days BP.190/110

F42. Pain chest increased during exercise. DOE,Palpitation and dizziness. --3months No HTN & DM