Question category: Cardiology
A 24 year old female is 22 weeks pregnant. She attends an antenatal clinic appointment. She has been very well throughout her pregnancy and has no past medical history. On examination there is no evidence of oedema. Her blood pressure is 110/70 mmHg and her heart rate is 88 bpm. Auscultation reveals an ejection systolic murmur over the aortic area which radiates to the carotids and varies on posture changes. This was not evident at her previous visit and she is not complaining of chest pain, palpitations or shortness of breath. Her chest is clear.