An active physical examination with no dyspnea or oxygen support revealed the following: peripheral cyanosis and signs of digital clubbing, conservative vesicular murmur, and a grade IV systolic murmur mainly in the mitral valve.
Al examen físico, activo, sin disnea ni aporte de oxígeno, cianosis periférica y signos de hipocratismo digital, murmullo vesicular conservado, y soplo sistólico grado IV, principalmente en foco mitral.