Q:

A 51 year old man had a MI a few days ago. He developed breathlessness. Echo was done and showed a pansystolic murmur. What can be the cause of this symptom?

waelhammad
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2022-10-29
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A 51 year old man had a MI a few days ago. He developed breathlessness. Echo was done and showed a pansystolic murmur. What can be the cause of this symptom?

  1. Ruptured papillary muscle
  2. Acute pericarditis
  3. Dresslers syndrome
  4. Malignant VT
  5. Ventricular aneurysm
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waelhammad
2022-10-29
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The key is A. Ruptured papillary muscle. [Papillary muscle rupture causes mitral regurgitation causing pancystolic murmur leading to features of heart failure like breathlessness].

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