Patient: female, 48years, 60kg, 165cm.
Hypothyroidism on eltroxin 150mg/100mg alternate days. Thyroid level made yesterday- normal and good
Recent Echo revealed : Mitral prolapse and trivial mitral regurge, everything else is normal. Recent ECG- normal.
Complain: Oedema, recurrent chest pain, tachycardia and dyspnea
What further investigations should I make? What could be the differential diagnosis?