Cardiovascular Medicine Q 1

A 19-year-old man is evaluated in the emergency department for a 2-week history of abdominal pain and exertional dyspnea. He underwent cardiac transplantation 10 months ago for viral myocarditis. Medications are tacrolimus, prednisone, mycophenolate mofetil, valganciclovir, trimethoprim-sulfamethoxazole, valsartan, calcium–vitamin D supplement, and low-dose aspirin. On physical examination, vital signs are normal. Neck examination reveals occasional jugular cannon a waves with no venous distention. Cardiac examination is significant for an S3. The remainder of the examination is normal. An electrocardiogram is shown.

Which of the following tests will most likely establish the diagnosis?

A Abdominal CT

B Coronary angiography

C Echocardiography

D Endomyocardial biopsy

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