Last updated on: July 26th, 2020

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You’re looking at a multiple-choice question from QBank Prepper (the newest of four distinct learning formats available in Clinical Odyssey). Try it out, and have fun improving your clinical skills.

Myocardial Disease IV

Five days after admission to the hospital for an acute myocardial infarction, a 60-year-old man complains of shortness of breath. His temperature is 37°C (98.6°F), pulse is 120/min and regular, respirations are 40/min, and blood pressure is 70/40 mm Hg with no pulsus paradoxus. Jugular venous pulsations are present 7 cm above the sternal angle. Crackles are heard at both lung bases. Cardiac examination shows a holosystolic murmur radiating to the axilla. Which of the following is the most likely diagnosis?

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