6th May 2025

You are asked to see a 32-year-old Para 1 Gravida 1 patient who is 20 weeks pregnant in the obstetrics unit.

You are asked to see a 32-year-old Para 1 Gravida 1 patient who is 20 weeks pregnant in the obstetrics unit. She has come in markedly short of breath. She was born and raised in eastern Europe but aside from an inflammatory condition as a child she has no significant past medical history. On examination she has a diastolic murmur, crepitations in both lungs and appears dyspnoeic at rest.

What is the likely underlying diagnosis?
Select the SINGLE most appropriate option from the list below. Select ONE option only.