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MediumCardiologyAortic stenosis evaluationca-mccqe1ca-rcpsc-im

A 58-year-old man with long-standing hypertension presents with intermittent chest discomfort on exertion and syncope. Examination reveals a harsh late-peaking systolic murmur at the right upper sternal border radiating to the carotids and soft second heart sound. What is the most appropriate initial diagnostic test?

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