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The exact symptoms can differ based on which valve is affected, but they generally include: Abnormal heart murmur Irregular heartbeat Chest pain Shortness of breath, especially when lying down or after physical activity Fatigue Dizziness or fainting Abdominal swelling Swollen feet or ankles Preventing Cardiovascular Complications From Medication Patients with cardiovascular issues often take multiple medications, sometimes prescribed by several different clinicians, without considering the potential for drug interactions and filled by different pharmacists

Apply a pea-sized amount to the desired spot

2007;80B(1):273279

Prophylactic Treatment and Lifestyle Changes and Dietary Restrictions During the interictal period, lifestyle changes and the use of reassurance (e.g., attacks are not self-induced) and anticipatory guidance (e.g., improvement with age and knowledge that effective therapies are available) can themselves have a significant therapeutic effect reducing the frequency of attacks (138)