11th May 2025

A 65-year-old woman with a diagnosis of idiopathic pulmonary hypertension is seen in clinic for a yearly review.

A 65-year-old woman with a diagnosis of idiopathic pulmonary hypertension is seen in clinic for a yearly review. On examination she has an elevated JVP, pitting oedema in her ankles. Right ventricular heave and loud P2 are noted, alongside a holosystolic murmur. Chest is clear. What does the holosystolic murmur heard represent?

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