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A 58 year old hypertensive lady presented to her General Practitioner with a 3 month history of exertional dyspnoea, paroxysmal nocturnal dyspnoea, orthopnoea, decreased appetite and weight loss of 10 kilograms. Physical examination revealed a non-radiating apical soft systolic murmur and mild bipedal oedema, but was otherwise unremarkable. Electrocardiogram demonstrated normal sinus rhythm only and a chest radiograph was normal. She was initiated on heart failure therapy with little improvement.
Left Atrial Myxoma - An Unusual Cause of Dyspnoea
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