Abstract
At the age of 42, she was first admitted to the therapeutic department of the 7th City Clinical Hospital on July 26, 1978 with complaints of palpitations, shortness of breath when walking, compressive pains behind the sternum. She considers herself ill since May 1978. Shortly before that, she suffered a sore throat. The reason for hospitalization was a sudden attack of suffocation that happened on the way to work. With the diagnosis of "acute heart failure", the ambulance delivered the patient to the department. Based on the data of physical, laboratory and instrumental examination, the diagnosis was made "rheumatism, inactive phase, stenosis of the left atrioventricular orifice, No-1". At the first hospitalization, it was noted that the auscultative mitral melody with rather pronounced subjective manifestations was not accompanied by radiological, electrocardiographic and physical signs of expansion of the boundaries of the heart. In this regard, the patient was re-hospitalized after 2 months.
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