system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 52-year-old man comes to the physician for a routine health maintenance examination. He has not seen a physician for 10 years. He works as a telemarketer and does not exercise. Cardiac examination shows a dull, low-pitched sound during late diastole that is best heard at the apex. The sound is loudest in the left lateral decubitus position and during end-expiration. Which of the following is the most likely cause of this finding?
assistant
Concentric left ventricular hypertrophy