Q. A 49-year-old male presents to the emergency department complaining of chest pain. He is a long haul truck driver and reports the symptoms began while driving home last night. He denies any history of trauma or fevers, and has never had symptoms like this before. He smokes 1 to 2 packs of cigarettes per day, and drinks “a fair amount” of whiskey every evening. Over the past two months, the patient reports markedly decreased exercise tolerance, difficulty lying flat, and frequently wakes up at night “gasping” for air. On physical examination, he is 177.8 cm tall (5 feet 10 inches), weighs 113 kg (250 lb), and his BMI is 36 kg/m2. His blood pressure is 145/90 mm Hg, heart rate is 80/min, respiratory rate is 18/min, and his oxygen saturation is 96 percent on room air. Chest auscultation reveals diffuse crackles bilaterally, and his cardiac examination demonstrates regular rate and rhythm. A holosystolic regurgitant murmur is noted over the apex. The patient is also noted to have 1 plus pitting edema in his lower extremities bilaterally. A chest x-ray (CXR) shows an enlarged cardiac silhouette, cephalization of flow and an enlarged hila. What findings would you expect to see on his electrocardiogram (EKG)?