A 67-Year-Old Man Comes to the Emergency Department Due to Progressive

A 67-year-old man comes to the emergency department due to progressive shortness of breath and chest tightness.  He has had no lightheadedness or syncope.  The patient takes lisinopril for hypertension and metformin for type 2 diabetes mellitus.  He has smoked a pack of cigarettes daily for the last 40 years.  The blood pressure cuff is inflated to 140 mm Hg and the pressure is released very slowly.  At 120 mm Hg, intermittent Korotkoff sounds are heard only during expiration.  At 100 mm Hg, Korotkoff sounds are heard throughout the respiratory cycle. This physical examination finding can be seen in which of the following conditions?

A) Aortic valve disease
B) Mitral valve disease
C) Myocardial ischemia
D) Pericardial disease
E) Peripheral vascular disease

Correct Answer:

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