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Exam questionKROK 2Medicine ยท 2015

A week before, a 65-year-old male patient suffered an acute myocardial infarction. His general condition has deteriorated: he complains of dyspnea at rest, pronounced weakness. Objectively: edema of the lower extremities, ascites is present. Heart borders are extended, paradoxical pulse is 2 cm displaced from the apex beat to the left. What is the most likely diagnosis?

Answer options

  1. Acute pericarditis
  2. Pulmonary embolism
  3. Recurrent myocardial infarction
  4. Acute cardiac aneurysm
  5. Cardiosclerotic aneurysm
Correct answer

Acute cardiac aneurysm

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