7th March 2024

A 77-year-old woman presents to the clinic with a 12 week history of worsening shortness of breath, palpitations and lower extremity oedema.

A 77-year-old woman presents to the clinic with a 12 week history of worsening shortness of breath, palpitations and lower extremity oedema. On clinical examination, she has a laterally displaced apical impulse with a loud holosystolic murmur at the apex. She has a raised JVP. There is pitting edema in both lower extremities. Auscultation of the chest shows a holosystolic murmur with some bibasilar crackles. Which of the following is MOST consistent with the underlying diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.