Abstract
A 66-year-old woman presented with a sudden onset of anterior chest pain lasting 2 days and a 1-year history of atrial fibrillation. She had never taken medication for the atrial fibrillation, and this was her first episode of chest pain. The physical examination, including cardiac enzymes, ECG, and echocardiogram, showed that she had acute myocardial infarction with severe mitral regurgitation (Figure 1). There was no evidence of systemic embolism other …
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