Cardiology MCQ 031

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A 57 year old man presents with a 35 minute history of severe chest pain radiating down his left arm, associated with shortness of breath. He denies denies a prior history of chest pain. His serum troponin levels and EKG are compatible with an acute anterior wall myocardial infarction. The patient actually did well initially, but collapsed outside his hospital room suddenly 6 days later. A new loud murmur indicating mitral insufficiency was heard, but he died within 10 minutes. Of the following, which is the most likely cause of death based on this history?

Myocardial Infarction: An Incredibly Easy! MiniguideA. Pulmonary embolism originating in left ventricular mural thrombus
B. Ruptured ventricular papillary muscle
C. ruptured left ventricular papillary muscle
D. Acute bacterial endocarditis of mitral valve
E. Mitral valve prolapse


Category: Cardiology MCQs



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