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Exam questionKROK 2Medicine · 2006

On the 3rd day after the acute anterior myocardial infarction a 55 y.o. patient complains of dull ache behind his breast bone, that can be reduced by bendi- ng forward, and of dyspnea. Objectively: AP- 140/180 mm Hg, heart sounds are dull. ECG results: atrial fibrillation wi- th frequence of ventricular contractions at the rate of 110/min, pathological Q wave and S-T segment raising in the ri- ght chest leads. The patient refused from thrombolisis. What is the most probable diagnosis?

Answer options

  1. Dressler’s syndrome
  2. Acute pericarditis
  3. Dissecting aortic aneurysm
  4. Tietze’s syndrome
  5. Pulmonary embolism
Correct answer

Acute pericarditis

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