A 54-year-old man is admitted to the hospital after his physician identified a new heart murmur during examination along with scattered petechiae. Patient history He was recently diagnosed with metastatic colorectal cancer and has lost 5 kg of weight in recent months but has not had fevers or night sweats. Vitals Temperature: 98.8°F (37.1°C), Pulse: 72 beats/min, Respirations: 18 breaths/min, Blood pressure: 130/80 mm Hg. Physical examination 2 out of 6 holosystolic murmur, heard best at the apex, as well as petechiae in his conjunctiva, oral mucosa, and legs.

He had multiple blood cultures obtained by his physician, and all showed no growth. Which of the following is the most likely complication of this patient's condition? Cognitive heart failure Embolic stroke Atrial fibrillation Pulmonary hypertension Rupture of chordae tendineae   Source: Osmosis *This case is from Docplexus…