A 40-year old female presented with dyspnoea on exeion grade III 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?
Ans. c. EC followed by percutaneous balloon mitral valvuloplasty
Diltiazen to control ventricular rate
Sta warfarin and follow-up with repeat echocardiography
EC followed by percutaneous balloon mitral valvuloplasty
Open mitral commissurotomy with clot removal