FCEM2-0173

FCEM2-0173

A 72 year old male comes to the emergency department complaining of sudden difficulty breathing, heart palpitations, and a cough that produces pink frothy sputum. During the examination, you observe an irregular heart rhythm, crackling sounds in the lower parts of the lungs, a loud first heart sound, and a mid-late diastolic murmur. What is the probable diagnosis?