A 62-year-old male presents with a 1-year history of progressive fatiguedyspnea on exertion (DOE)and lower extremity (LE) edema. He has been hospitalized twice in the past year for heart failure. He is black. What is the most likely diagnosis?
a) Chronic obstructive pulmonary disease (COPD)
b) Hypertrophic cardiomyopathy
c) Heart failure with reduced ejection fraction (HFrEF)
d) Pulmonary embolism