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A 45 year female presents to her primary care doctor for a annual health visit. Her doctor notices she has a diastolic heart murmur. It is accompanied by an opening snap after S2 following by the decrescendo-crescendo diastolic murmur. The murmur is louder during a valsalva maneuver and is best heard at the Apex. She otherwise does not have any complaints, no infectious symptoms, no chest pain or shortness of breath.