Known case of bronchial asthma, hypertension and heart failure.

Patient is on amiodarone for last three years for high premature ventricular contractions (PVCs) burden.

Echocardiogram: Ejection fraction =45-50 %, moderate-severe mitral regurgitation, mild-moderate aortic regurgitation, mild tricuspid regurgitation, grade 1 diastolic dysfunction, normal IVC and pericardium.