Practice Level 3 Case 46: A 64-Year-Old Woman with Valvular Heart Disease History Diagnosis History A 65-year-old woman is presenting with symptomatic mitral and tricuspid insufficiency: Diagnosis Sinus tachycardia, 106/minBiatrial enlargementLeft ventricular hypertrophy with repolarization abnormality ECG ID: E497 Bookmark Please login to bookmark Username or Email Address Password Remember Me No account yet? Register