A 67-year-old man with a history of chronic obstructive pulmonary disease and ischaemic heart disease is taken to the Emergency Department with dyspnoea. On examination his respiratory rate is 24 / min, JVP is not elevated and crackles are heard in both lung bases. Which other finding would most strongly indicate that his dyspnoea is secondary to isolated left ventricular failure?
A.A Pulsus alternans
B.A Gallop rhythm***
C.A Tachycardiaia
D.A Peripheral oedema
E.A Cardiomegaly on chest x-ray.
A.A Pulsus alternans
B.A Gallop rhythm***
C.A Tachycardiaia
D.A Peripheral oedema
E.A Cardiomegaly on chest x-ray.
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cardiology