75 year old man with shortness of breath with minimal exertion


Patient Chart History: 75 year old man complains of shortness of breath with minimal exertion. Lips have a bluish tint.

Physical Exam
Blood pressure is normal.
Pulse rate is 95 bpm.
Occasional expiratory wheeze is noted.


Test Results: Normal thyroid function tests.
Failed six minute walking test.


Heart Sounds:


Diagnosis What is your diagnosis?