178. A patient with a history of valvular heart disease develops acute onset of shortness of breath and an S3 gallop. What is the critical clinical urgency in identifying the cause of this acute decompensation?

  • To rule out pneumonia.
  • To identify acute exacerbation of heart failure, often due to valvular dysfunction, requiring urgent medical management.
  • To assess for DVT.
  • To evaluate for allergic reaction.
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