List symptoms.
Gradual development of symptoms of congestive heart failure
Dyspnea
Ankle and abdominal swelling
Angina pectoris
Fatigue
Some patients may present with symptoms of arrhythmia.
Describe findings of physical examination.
Systolic murmur secondary to mitral valve regurgitation or tricuspid valve regurgitation
S3 gallop
Displacement of the apex beat
Jugular venous distention
Bilateral rales
Peripheral edema
Ascites
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