Myocardial Disease IV

Cardiovascular System


{"ops":[{"insert":"Five days after admission to the hospital for an acute myocardial infarction, a 60-year-old man complains of shortness of breath. His temperature is 37\u00b0C (98.6\u00b0F), pulse is 120\/min and regular, respirations are 40\/min, and blood pressure is 70\/40 mm Hg with no pulsus paradoxus. Jugular venous pulsations are present 7 cm above the sternal angle. Crackles are heard at both lung bases. Cardiac examination shows a holosystolic murmur radiating to the axilla. Which of the following is the most likely diagnosis?"},{"insert":"\n"}]}

Background

{"ops":[{"insert":"\n"}]}

(A)

Mitral regurgitation
{"ops":[{"insert":"\n"}]}

(B)

Cardiac tamponade
{"ops":[{"insert":"\n"}]}

(C)

Pericarditis
{"ops":[{"insert":"\n"}]}

(D)

Ventricular septal rupture
{"ops":[{"insert":"\n"}]}

(E)

Pulmonary embolism
{"ops":[{"insert":"\n"}]}

References

{"ops":[{"insert":"REED GRANT W, ROSSI JEFFREY E, CANNON CHRISTOPHER P. Acute myocardial infarction. The Lancet [online] 2017 January, 389(10065):197-210 [viewed 20 July 2019] Available from: doi:10.1016\/S0140-6736(16)30677-8"},{"insert":"\n","attributes":{"list":"ordered"}},{"insert":"TEGN NICOLAI, ABDELNOOR MICHAEL, AABERGE LARS, ENDRESEN KNUT, SMITH P\u00e5L, AAKHUS SVEND, GJERTSEN ERIK, DAHL-HOFSETH OLA, RANHOFF ANETTE HYLEN, GULLESTAD LARS, BENDZ BJ\u00f8RN. Invasive versus conservative strategy in patients aged 80 years or older with non-ST-elevation myocardial infarction or unstable angina pectoris (After Eighty study): an open-label randomised controlled trial. The Lancet [online] 2016 March, 387(10023):1057-1065 [viewed 20 July 2019] Available from: doi:10.1016\/S0140-6736(15)01166-6"},{"insert":"\n","attributes":{"list":"ordered"}}]}

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