A 52-Year-Old Man Arrives at the Office After Experiencing Progressive

A 52-year-old man arrives at the office after experiencing progressive fatigue and exertional dyspnea for two weeks. The patient is a postal delivery worker who says he gets out of breath after a few blocks. He has not experienced any chest pain or palpitations. The patient does not smoke, drink alcohol, or use illegal drugs. Cardiac auscultation reveals a murmur, which can be heard best when the patient sits up and leans forward. He brings the report from a recent cardiac catheterization to the office (graph shown below) . This patient's murmur would most likely be loudest at which of the following time points on the graph?

A) A
B) B
C) C
D) D
E) E

Correct Answer:

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