Mrs. Carpenter is a 59-year-old female who presents with an acute myocardial

infarction. She is acutely short of breath and has coarse rales on auscultation. Physical examination reveals a grade V/VI systolic murmur, loudest at the point of maximal impulse with radiation to the midaxillary line. The AGACP recognizes:

A. Acute mitral valve regurgitation     B. Acute aortic valve regurgitation                                              C. Acute cardiac tamponade     D. Acute pulmonary embolus