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An unusual suspect for heart failure

, Christianne Tan, Hitesh C Patel, , Justin Mariani, · Acute Medicine Journal · 2020

A 71-year old retired missionary presented with a 2- week history of increasing dyspnoea, orthopnoea, and peripheral oedema. The patient had no previous significant past medical history. On clinical examination, his heart sounds were dual and his jugular venous pressure was elevated to 7cm. On chest auscultation there were bilateral crepitations at his lung bases.

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