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2014 Medicine

A 40 year old female presented with dyspnoea on exertion grade and palpitations. ECG showed atrial fibrillation with fast ventricular rate. Echocardiography shows severe mitral stenosis with left atrial appendage clot. Which of the following is not advised?

ADiltiazen to control ventricular rate
BStart warfarin and follow-up with repeat echocardiography
CEC followed by percutaneous balloon mitral valvuloplasty
DOpen mitral commissurotomy with clot removal
Medicine
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