HY USMLE Q #1174 – Cardio

A 64-year-old man is recovering in ICU following a myocardial infarction 3 days ago. He has hypertension, diabetes mellitus type II, and peripheral vascular disease. Medications are lisinopril, atorvastatin, aspirin, metformin, and glyburide. Physical examination shows diffuse mild crackles halfway up both lung fields. Vitals are normal. Which of the following is most likely to be seen in this patient?

  2/6 decrescendo holo-diastolic murmur
  2/6 diastolic rumbling murmur with opening snap
  3/6 systolic cresendo-decrescendo ejection murmur
  4/6 holosystolic murmur
  6/6 murmur