Findings

anginal chest pain on exertion and ISCHEMIC

CARDIOMYOPATHY explained by CORONARY HEART

DISEASE.

dyspnea on exertion explained by LV DIASTOLIC

DYSFUNCTION or HIGH LA PRESS.

loud s1, rumble diastolic murmur at the apex, ATRIAL

FIBRILLATION PAROXYSMAL and HIGH LA PRESS

explained by MITRAL STENOSIS.

holosystolic systolic murmur at the apex explained by

MITRAL REGURGITATION.

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