You are dispatched to a residence at 2:00 AM for an elderly man with shortness of breath. The patient tells you that he was suddenly awakened with the feeling that he was smothering. You note dried blood on his lips. The patient tells you that he has some type of "breathing problem," for which he uses a prescribed inhaler and takes a "heart pill." You should suspect:
A) right ventricular failure.
B) reactive airway disease.
C) acute COPD exacerbation.
D) left-sided heart failure.
Answer: D) left-sided heart failure.
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