BMJ 2011; 342 doi: https://doi.org/10.1136/bmj.d248 (Published 19 January 2011) Cite this as: BMJ 2011;342:d248
  1. Araz Pourkashanian, foundation year 1,
  2. Christopher Gubran, foundation year 1,
  3. Russell C Davis, consultant cardiologist
  1. 1Sandwell General Hospital, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham B71 4HJ, UK


A 43 year old woman presented with progressively worsening dyspnoea and foot oedema. Further clinical history revealed orthopnoea and paroxysmal …

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