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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 34-year-old primigravida presents with progressive shortness of breath on exertion and while sleeping. The patient says that she uses 2 pillows to breathe comfortably while sleeping at night. These symptoms started in the 3rd week of the 2nd trimester of pregnancy. She does not have any chronic health problems. She denies smoking and alcohol intake. Vital signs include: blood pressure 110/50 mm Hg, temperature 36.9°C (98.4°F), and regular pulse 90/min. Previous physical examination in the 1st trimester had disclosed no cardiac abnormalities, but on current physical examination, she has a loud S1 and a 2/6 diastolic rumble over the cardiac apex. A transthoracic echocardiogram shows evidence of mitral valve stenosis. Which of the following is the best initial treatment for this patient?
assistant
Loop diuretics