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Mrs Reece is a 75 year old lady who presents with shortness of breath and mild bilateral ankle swelling. Past medical history includes a ST-elevation myocardial infarction 2 years ago. On examination, her weight is 47kg and her height is 1.65 metres. She has a pansystolic murmur audible at the apex.

Based on the likely diagnosis, which of the following is most correct?

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