A 66-Year-Old Female Presents with Fatigue,shortness of Breath with Exertion,cough,and

A 66-year-old female presents with fatigue,shortness of breath with exertion,cough,and swelling of the ankles.Current medications include lipid-lowering medication for hyperlipidemia and beta blocker for hypertension.On physical examination,vital signs are 98 degrees,18 resps/min,pulse 56,and BP 100/60.Heart demonstrates S3 gallop and S4.Lungs reveal bilateral basilar crackles.Abdomen is distended with shifting dullness and hepatomegaly.Extremities show bilateral ankle edema.No neurological deficits.These signs and symptoms are characteristic of:

A) Chronic renal failure
B) Congestive heart failure
C) Metabolic syndrome
D) Liver failure