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A 37-year-old woman presents with complaints of severe heartburn with or without meals. She has a history of hypertension, which has been treated with captopril. She also has a history of Raynaud disease, multiple facial telangiectasias, and very taut skin on the dorsum of both hands. She has failed to obtain relief for her heartburn with large doses of antacids, or omeprazole. Esophageal manometry is ordered. Most likely results of this test is ?

ADecreased esophageal peristalsis and decreased LES pressure
BDecreased esophageal peristalsis and increased LES pressure
CIncreased esophageal peristalsis and decreased LES pressure
DIncreased esophageal peristalsis and increased LES pressure
Unknown
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