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A heart murmur was detected in a teenage girl who sought medical care due to feelings of chronic fatigue. Her radial pulse was rapid and weak. An echocardiogram and coronary angiography revealed that she had a ventricular septal defect and mitral stenosis (roughening or constriction of the walls surrounding the mitral valve). Predict her ECG pattern and explain her symptoms. Would you be concerned if you find that her plasma cholesterol concentration is also high? Why

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