A 35-Year-Old Man Comes to the Office with Progressive Fatigue

A 35-year-old man comes to the office with progressive fatigue, dyspnea on exertion, and lower extremity edema over the last 2 weeks.  Preceding these symptoms, he had an episode of fever, runny nose, and myalgias that resolved after several days.  The patient has no other medical history, takes no medications, and has no significant family history.  He occasionally drinks alcohol and does not use tobacco.  Blood pressure is 112/74 mm Hg, and pulse is 98/min and regular.  Physical examination reveals jugular venous distension, bibasilar crackles on lung auscultation, and 2+ pitting edema involving the lower extremities.  Which of the following echocardiographic findings is most likely to be seen in this patient?

A) Concentric left ventricle thickening with abnormal diastolic relaxation
B) Dilated ventricles with abnormal systolic ventricular function
C) High systolic pressure gradient across the aortic valve
D) Regional wall motion abnormality
E) Systolic anterior motion of the mitral valve

Correct Answer:

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