The fоllоwing twо (2) questions аre relаted to the sаme clinical scenario (patient). A 69-year-old patient was received in the emergency room slightly confused, complaining of nausea, severe headache, SOB, and epistaxis 2 hours prior to admission. On arrival the patient presented with: Glasgow Coma Scale (GCS): 14; BP: 195/120 mm Hg; HR: sinus, 103 beats per minute (bpm); RR: 21 breaths per minute and regular; T: 99.0°F; O2 Saturation: 97% on 2 L nasal cannula; pain scale: 4 out of 10. The patient voiced a history of HTN for over 35 years and myocardial infarction 2 years ago. The patient denied a smoking history, alcohol use, or substance abuse. Significant physical examination findings were: present S4, crackles on chest auscultation, and papilledema on ophthalmoscopic exam. No peripheral edema was noted. Other systems were unremarkable. Your primary diagnostic impression is: