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A 52 year old male, who has been hypertensive for six years, presents with complaint of increasing dyspnea on exertion. He states that he has to add two pillows in order to be able to sleep. He woke up at 3AM in severe respiratory distress, coughing up frothy sputum. The most likely etiology is:

A. Right heart failure
B. Acute cor pulmonale
C. Chronic cor pulmonale
D. Acute Left venitricular failure
E. Chronic passive pulmonary hypertension

ddd

D. ty

DD