Here’s a tough one for you 🫀:
A 68-year-old woman presents with progressive exertional dyspnoea and fatigue.
On examination:
- BP: 110/70 mmHg
- Pulse: irregularly irregular, 96 bpm
- JVP: raised
- Apex beat: tapping, not displaced
- Auscultation: loud S1, opening snap, mid-diastolic rumbling murmur at the apex, best heard in left lateral position.
💡 Question:
- What is the most likely diagnosis?
- What is the single most important complication she is at risk of developing?
Drop your answers below 👇 — I’ll reveal the correct answers and explanation this evening.