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A 32-year-old woman with a history of adenocarcinoma presents with progressive dyspnoea evoked by activities of daily living, lower extremity oedema, and abdominal bloating and distention. An echocardiogram is performed with M-mode and Doppler images shown in Figure 1.
What finding would you expect to find on physical examination?
Large V waves …
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
▸ Additional material is published online only. To view please visit the journal online (http://dx.doi.org/10.1136/heartjnl-2015-308153).