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Heart trouble… q) Your aunt Emma, a 50-year-old woman, has been known for years to have mitral valve prolapse. She has now developed exertional dyspnea, orthopnea, and mild atrial fibrillation. She has an mild case of an apical, high-pitched, holosystolic heart murmur that radiates to the axilla and back. She can still exercise moderately. Because of her gradual deterioration, surgery has been recommended…hmmmm. Which of the following do you, a courageous medical student, recommend? 1-Mitral valve replacement 2-Mitral valve repair 3-No surgery, but recommend ACE (-) & Diuretcs 4-Aortic valve replacement 5-Heart transplant

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Subject: Tommy's Concepts

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Heart trouble…
q) Your aunt Emma, a 50-year-old woman, has been known for years to have mitral valve prolapse. She has now developed exertional dyspnea, orthopnea, and mild atrial fibrillation. She has an mild case of an apical, high-pitched, holosystolic heart murmur that radiates to the axilla and back. She can still exercise moderately. Because of her gradual deterioration, surgery has been recommended…hmmmm. Which of the following do you, a courageous medical student, recommend?
1-Mitral valve replacement
2-Mitral valve repair
3-No surgery, but recommend ACE (-) & Diuretcs
4-Aortic valve replacement
5-Heart transplant

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