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A 60y.O. Female complaining of dyspnea and arrythmia with diastolic murmur, what are the possibilities?
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Dr. Jesus Yap
Internal Medicine - Cardiology
In brief: Valvular heart disea
In a female particularly if not born in the us a cardiac arrhythmia particularly atrial fib associated with a diastolic murmur suggest mitral stenosis .
Non af and diastolic murmur suggest aortic insufficiency which still may be due to rheumatic heart disease . Physical examination is diagnostic and 2d echo is confirmatory.

In brief: Valvular heart disea
In a female particularly if not born in the us a cardiac arrhythmia particularly atrial fib associated with a diastolic murmur suggest mitral stenosis .
Non af and diastolic murmur suggest aortic insufficiency which still may be due to rheumatic heart disease . Physical examination is diagnostic and 2d echo is confirmatory.
Dr. Jesus Yap
Dr. Jesus Yap
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