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A 51-year-old man presented with complaints of insidious onset, gradually progressive dyspnoea on exertion NYHA (New York Heart Association) class II associated with paroxysmal palpitations. There was no history suggestive of rheumatic activity, rash, joint pains, haemoptysis, chest pain, cough, embolic phenomenon, intravenous drug abuse, cyanosis or similar illness in family. Clinical examination revealed a loud S1, opening snap …
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