A 56-year-old woman comes to the physician for a follow-up appointment. She walks through the door bent over at the waist. She has a long-standing history of symmetrical metacarpal and knee pain. Current medications are diclofenac, esomeprazole, and methotrexate. Prednisone is taken periodically. A chest x-ray shows bilateral reticulonodular patterning. Which of the following is most likely to be a component of this patient’s history?
Decreased left ventricular ejection fraction
Decreased mitral cross-sectional area
Increased pulmonary capillary wedge pressure
Reduced FEV1/FVC
ST elevations on electrocardiography
