An 81-year-old woman with dyspnea on exertion

DAVID L. LONGWORTH, MD

JAMES K. STOLLER, MD

BARBARA WILLIAMS, MD
Department of Internal Medicine

J. HARRY ISAACSON, MD
Department of Internal Medicine

MICHAEL S. LAUER, MD
Department of Cardiology, The Cleveland Clinic Foundation

DAVID L. LONGWORTH, MD

JAMES K. STOLLER, MD

BARBARA WILLIAMS, MD
Department of Internal Medicine

J. HARRY ISAACSON, MD
Department of Internal Medicine

MICHAEL S. LAUER, MD
Department of Cardiology, The Cleveland Clinic Foundation

DAVID L. LONGWORTH, MD

JAMES K. STOLLER, MD

BARBARA WILLIAMS, MD
Department of Internal Medicine

J. HARRY ISAACSON, MD
Department of Internal Medicine

MICHAEL S. LAUER, MD
Department of Cardiology, The Cleveland Clinic Foundation