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Risk Factors:
- Rheumatic heart disease
- Myocardial Infarction
- Infective endocarditis
- Severe mitra valve prolapse
- Signs of left-sided heart failure that can progress to right-sided heart failure
- Murmur: high-pitched, holosystolic murmur at the apex that radiates to the axilla
- Laterally displaced PMI with left ventricular heave
- Atrial fibrillation
- Fatigue
- ACEIs
- Vasodilators
- Diuretic
- Digoxins
- Anticoagulants
- Valve repair or replacement
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