A 62-Year-Old Man Comes to the Physician for Decreased Exercise

A 62-year-old man comes to the physician for decreased exercise tolerance. Over the past four months, he has noticed progressively worsening shortness of breath while walking his dog. He also becomes short of breath when lying in bed at night. Cardiac examination shows a high-pitched, decrescendo murmur that occurs immediately after S2 and is heard best along the left sternal border. There is an S3 gallop. Carotid pulses are strong. which of the following findings is most likely to be present on further evaluation?

A) Impaired left ventricular contractility
B) Left ventricular outflow obstruction
C) Restricted left ventricular filling
D) Systolic and diastolic hypertension
E) Widening of the pulse pressure

Correct Answer:

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