In a 60-year-old patient, what findings may indicate left atrial hypertrophy secondary to mitral stenosis?

In the context of mitral stenosis, a 60-year-old patient may exhibit specific symptoms that suggest left atrial hypertrophy, which is a common consequence of this condition due to the increased pressure load on the left atrium. One of the classic signs associated with this scenario is the presence of an irregular pulse. This irregularity can be a result of atrial fibrillation, which often occurs due to the enlargement of the left atrium.

Additionally, the prominent malar flush is another characteristic finding associated with mitral stenosis. This flushing occurs because of dilated blood vessels in the face as a compensatory mechanism to improve blood flow when there is reduced efficient circulation due to the narrowed mitral valve.

The combination of an irregular pulse and prominent malar flush serves as key indicators of left atrial hypertrophy associated with mitral stenosis, thereby making this option the most fitting in the context of the patient's condition.

The other choices do not directly align with findings indicative of left atrial hypertrophy secondary to mitral stenosis. For instance, a systolic murmur and hypotension are more general signs that could indicate other cardiac conditions. Low blood pressure and an elevated heart rate are nonspecific and could be seen in various