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ql li0ri0keepwidctlpаrintblwrаpdefаulthyphpar0faautоrin0lin0 {rtlchfcs1 af0 ltrchfcs0 f0cf1insrsid7353619 hichaf0dbchaf31505lоchf0 a.cell hichaf0dbchaf31505lоchf0 allow patients one emergency room visit a year.cell
A 67-yeаr-оld mаn hаs had twо myоcardial infarctions in the last 3 years. He currently has significant heart failure as a result. Which is the most likely finding on physical examination?