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Cannot make sense of what dr is dictating here...gave a few of the sentences before and after so you can get the context from this consultation report.
Recurrent severe chest pain attributed to mitral valve prolapse increasing in frequency and intensity. History of global poor left ventricular function. Cannot rule out cardiomyopathy so I will be careful as regards negative. No trophic agents such as Inderal. Suggest that Inderal and Isordil be discontinued.
Are "negative" and "No tropic agents" correct? Are they one sentence? Thanks for any help!