Final answer:
The expected tongue in this case would be A. Red tongue with redder tip with red points and yellow coating.
Step-by-step explanation:
The symptoms described of palpitations, pain in the heart area, constriction in the chest, bluish lips and nails, and cold hands are suggestive of a cardiac condition called cyanotic heart disease. In this condition, there is a decrease in the amount of oxygenated blood reaching the tissues, leading to bluish discoloration. The expected tongue in this case would be A. Red tongue with redder tip with red points and yellow coating as this tongue appearance is associated with heat and inflammation in Traditional Chinese Medicine.