Audio Qbank – Q10 – A 54F with poorly controlled hypertension

A 54-year-old woman comes to the physician for a routine health examination. She has a 20-year history of poorly controlled hypertension. Her vitals are: temp 99.0F, HR 82, RR 13, BP 162/102. Cardiac examination shows a laterally displaced apical impulse, a loud S2, and an S4 gallop. The lungs are clear to auscultation. Transthoracic echocardiography shows left ventricular wall thickening. Which of the following combinations of variables is most likely in this patient?