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OCR: Fast. but no so oung 63 yo female with past history of HTN presents complaining of severe weak kness dyspnea and palpitations She has had vague intermittent discomfort 1n her chest none now Onset hours Meds: captopril lasix digoxin PE: VS 100 175 24 97 pulse OX 95% Card iregular rhythm ystolic murmu radiating to neck no JVD Chest basilar rales Ext 311 cap refill young weakness irregular systolic murmur rradiating fair