You are seeing a 55-year-old woman for a routine follow-up visit….

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You are seeing a 55-year-old woman for a routine follow-up visit. Her medical history is significant for hypertension and hyperlipidemia. She takes metoprolol and simvastatin. She does not smoke or drink alcohol. She works as a cashier at a convenience store. She walks 2 miles to and from work daily. Her blood pressure is 115/70 mm Hg. Her examination is normal except for her cardiac examination, for which her point of maximal impulse is displaced 3 cm. She has a 4/6 systolic murmur at the apex radiating to her axilla. Transthoracic echocardiography shows severe mitral regurgitation with a left ventricle ejection fraction of 50%.

What is the next step in management of this patient?

SCIENCE
HEALTH SCIENCE
NURSING
NUR 569

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