Case # 2
A 56-year-old woman was referred for further evaluation after a systolic murmur was incidentally detected during a routine health check-up. She reported no symptoms such as dyspnea, chest pain, or fatigue. Her past medical history was significant for chronic hypertension for over 10 years, well-controlled with a combination of an angiotensin-converting enzyme (ACE) inhibitor and a diuretic. She had no prior cardiac surgery or intervention, was a nonsmoker, did not consume alcohol, and had a family history of ischemic heart disease.
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