Abstract:A 65-year-old woman was brought to Coney Island Hospital emergency room (ER) with a history of orthopnea for 3 days associated with retrosternal chest pain, cough, and palpitations. She had undergone CABG 7 years ago with metallic mitral valve replacement for critical MS at another hospital. Her medications include Coumadin and aspirin. She claimed to not have taken Coumadin for 6 years. Her exercise tolerance was about 3 blocks. The patient denied any use of tobacco, alcohol, or drugs. On physical examination… Show more
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