Tachycardia, bibasal crepitations, hypotensive.
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Cardiac silhouette is enlarged. No pleural effusion. No frank pulmonary edema but the lungs appear congested.
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This patient was 5 months post-partum, and had experience three months of orthopnea, persistent dry cough, and palpitations. No previous medical history.
Transthoracic echocardiography demonstrated a severely dilated left ventricle with global hypokinesis and poor coaptation of mitral valve with severe regurgitation.