Q:

A 50 year old man came to the hospital a few months after he had a MI. Exam: everything normal, S1 and S2 were heard on auscultation, but there is a new pan-sytolic murmur. What is the most appropriate investigation of choice?

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A 50 year old man came to the hospital a few months after he had a MI. Exam: everything normal, S1 and S2 were heard on auscultation, but there is a new pan-sytolic murmur. What is the most appropriate investigation of choice?


  1. ECG
  2. 24h ECG
  3. Echo
  4. CXR
  5. CT

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The key is C. Echo. [To rule out any valvular lesion (following papillary muscle rupture) or septal lesion].

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