year old male who is known to have HIV and is on HAART is admitted with
examination you note that he is breathless at rest and is lying propped up in
bed , his pulse rate is 110 beats per minute , BP 120/70 , his JVP is raised
upto his ear lobe, apex displaced to the sixth left intercostal space anterior
axillary line , there is a systolic murmur at the apex that radiates to the
axilla. On auscultation of his lungs you hear bilateral basal crepitations.
There is bilateral ankle oedema.
this patient what is the most likely cause of the presenting problem?