HISTORY OF PRESENT ILLNESS: , The patient is an 84-year-old woman with a history of hypertension, severe tricuspid regurgitation with mild pulmonary hypertension, mild aortic stenosis, and previously moderate mitral regurgitation although not seen recently and I was asked to perform cardiology consultation for her because there was concern for atrial fibrillation after a fall. 
HISTORY OF PRESENT ILLNESS : , The patient is an 84 - year - old woman with a history of hypertension , severe tricuspid regurgitation with mild pulmonary hypertension , mild aortic stenosis , and previously moderate mitral regurgitation although not seen recently and I was asked to perform cardiology consultation for her because there was concern for atrial fibrillation after a fall .