Question Title

* 1.  A 25-year-old man is hospitalized for the evaluation of dyspnea, two years after heart transplantation.  An echocardiogram reveals an ejection fraction of 32%.  An endomyocardial biopsy, obtained the day of admission, reveals no evidence of rejection.  He is normotensive with a pulse of 110/minute.  He has bibasilar rales, elevated jugular venous pulsations, and a third heart sound.  Which of the following is most appropriate?

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