# data[].attributes.body
1. hypokinetic
2. severe mitral stenosis
3. beta blocker-redyce palpitation
cardiac glycoside
diuretic- reduce eodema

# data[].attributes.body
1. Echocardiogram - for valvular heart disease pt (to check how the valve function)
2. Chest X-ray - to check whether pt hv pulmonary edema
3. FBC - check for the symptoms of anemia (O2 decreased - viral/bacterial infection - look at neutrophils, lymphocyte count)
4. Lipid profile
5. Cardiac biomarkers - Troponin I & T, ALT, BNP, ANP (heart muscle work harder- release more ANP)
6. ECG - to look for AFib result (due to elevated JVP)
Findings : Irregularly irregular heart rhythm, no P waves
7. Renal profile - Na, K, urea, creatinine level

# data[].attributes.body
1. Valvular disease (Congestive HF)

# data[].attributes.body
1. Tachycardia
2. Borderline respiratory rate
3. No hypertension
4. Loud first sound, Diastolic rumble
5. Pulmonic valve sound
6.  Bilateral crackles (Pulmonary edema - fluid acumulates at the lungs)
7. Elevated JV distention to 12 cm H2O
8. Bilateral pitting edema (indicates failure of right ventricle - cannot sleep - oxygen low)

# data[].attributes.body
1. Tachycardia
2. Borderline respiratory rate
3. No hypertension
4. Loud first sound, Diastolic rumble
5. Pulmonic valve sound
6.  Bilateral crackles (Pulmonary edema - fluid acumulates at the lungs)
7. Elevated JV distention to 12 cm H2O
8. Bilateral pitting edema (indicates failure of right ventricle - cannot sleep - oxygen low)

# data[].attributes.body
1. Diastolic rumble : abnormal heart sound - to make a cont low sound (rumble pan-systolic)

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1. vital sign- temp, BP, pulse
2.PE- CVS examination-percussion/palpation/auscultation( systolic murmur)
3. Xray- infection?
4.ECG- abnormal rhythm

# data[].attributes.body
1. rapid palpitation at night
2. SOB
3. Recurrent episode of fever & joint pain & sore throat

# data[].attributes.body
1. rapid palpitation at night
2. SOB
3. Recurrent episode of fever & joint pain & sore throat

# data[].attributes.body
Further questioning
1. SOCRATES (onset, characteristic, radiation, associated symptoms-(cough, fatigue, runny nose, sputum, asthma),duration, alleviating factor
2. Past medical history- syncopal attack (pengsan), premature atrial contraction, any past surgery/procedure
3. Drug history - previous medication
4. Family history
5. social history -alcohol intake, smoking, travel history, occupation

# data[].attributes.body
1. Heart felt like skipping a beat or sometimes beat too fast
2. Two months duration

# data[].attributes.body
1. Rheumatic fever
2. asthma
3. pneumonia
4. valvular stenosis
5. premature atrial contraction
6. premature ventricular contraction

# data[].attributes.body
1. asthma
2. syncopal attack
3. pneumonia
4. valvular stenosis
5. hyperthyroidism
6. renal disease
7. drugs
8. electrolyte imbalance
9. premature atrial contraction
10. premature ventricular contraction
11. anxiety, panic disorders
12. diets- caffeine