A 47-year-old woman with obesity, hypertension, dyslipidemia, and a history of chronic heart failure presented with shortness of breath, peripheral edema, and clinical signs of deterioration. Without on-site echocardiography, her worsening status could not be objectively assessed. A bedside AISAP exam revealed EF 14%, severe mitral regurgitation, and severe tricuspid regurgitation, confirming significant decline from her prior evaluation. In this low-resource setting, AISAP provided the essential diagnostic clarity needed to guide timely management during an acute heart failure exacerbation.