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Need a doctor's opinion regarding a diagnosis.

Your opinion regarding this case would be very appreciated, doctors.

21 year old asian female.
Chief Complaint: Chest Pain and DOB
Initial Diagnosis: Acute MI

Symptoms started to appear 3 months PTC:

Mild Pleural Effusion
+Reynaud's Phenomena when exposed to cold
Right Atrium and Right Ventricle are dilated
Abnormally high RF factor
Hypokalemia
Hypotension, ranges at about (80-90)/(60-70)
Slightly elevated ESR
Slightly low platelet count


Tests Done:
2D Echo - Other than the chambers' dilatation, normal.
ABG is normal
Vital Signs are normal, except for HR at 120 bpm

What could be the primary cause of the symptoms presented ?

So far they have ruled out acute MI, SLE and Takayasu's disease. While Rheumatoid Arthritis, Connective Tissue Disease and Pulmonary Embolism are to be considered.

Any second opinions ?

Thanks.
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