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IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Department of Cardiac Surgery, Erebouni Medical Center, Yerevan, Armenia
For reprint information contact: Vahe Gasparyan, MD Tel: 374 9154 1411 Fax: 374 1045 8287 Email: vahegasparyan@yahoo.com, Department of Cardiac Surgery, Erebouni Medical Center, 14 Titogradian St., 375087 Yerevan, Armenia.
| The first 20% of the full text of this article appears below. |
A 44-year-old male presented to Erebouni Medical Center emergency department with two days of respiratory insufficiency. On physical examination, the positive finding was a grade II pre-systolic murmur at the apex. Electrocardiography showed atrial fibrillation with the ventricular rate of 94 beat· min–1. Transthoracic
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