Q:

A 67 year old man had successful thrombolysis for an inferior MI 1 month ago and was discharged after 5days. He is now readmitted with pulmonary edema. What is the most probable diagnosis?

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A 67 year old man had successful thrombolysis for an inferior MI 1 month ago and was

discharged after 5days. He is now readmitted with pulmonary edema. What is the most

probable diagnosis?


  1. Aortic regurgitation
  2. Ischemic mitral regurgitation
  3. Mitral valve prolapse
  4. Pulmonary stenosis
  5. Rheumatic mitral valve stenosis

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The key is B. Ischaemic mitral regurgitation. [ischaemic mitral regurgitation > raised pulmonary

capillary pressure > pulmonary oedema. Inferior myocardial infarction causes left ventricular

remodeling, which displaces posterior papillary muscle away from its normal position, leading to

ischemic mitral regurgitation].

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