78-year-old widow who presents to the primary care clinic complaining

78-year-old widow who presents to the primary care clinic complaining of increasing shortness of breath. She describes that for the past four months, she has gradually become increasingly short of breath when she walks back up the hill to her apartment after going to the supermarket. She is finally seeking medical help because she now finds herself short of breath when she does her gardening. Her sister, a lifelong smoker, died of lung cancer, age 73 and given that Mrs. Finnegan used to smoke, she is especially concerned that she may have lung cancer. Should she be evaluated for cardiac involvement?

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