A 64-year-old man comes to the physician for a 6-month history of progressive shortness of breath when walking his dog around the block in the mornings. He reports no chest pain. He has a 30-year history of type II diabetes mellitus managed with insulin. Blood pressure is 120/80. Which of the following is most likely to be seen in this patient?
Decreased bradykininase activity
Left axis deviation
Normal pulmonary capillary wedge pressure
S4 heart sound
Tricuspid regurgitation
