Facharzt FMH Intensivmedizin Practice Questions - Facharzt FMH Für Intensivmedizin Spécialiste FMH En Médecine Intensive Exam

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On day 4 following an extensive anterior STEMI, a 71-year-old man abruptly develops severe dyspnea, hypotension (BP 78/44 mmHg), and a new harsh holosystolic murmur with a palpable thrill at the lower left sternal border. Pulmonary artery catheterization reveals a right atrial oxygen saturation of 58% and a pulmonary artery oxygen saturation of 82%. What is the definitive diagnosis?

Post-infarction Ventricular Septal Rupture (VSR) Acute papillary muscle rupture with severe mitral regurgitation Left ventricular free wall rupture with acute cardiac tamponade Acute pulmonary embolism complicating myocardial infarction

Correct Answer:

Post-infarction Ventricular Septal Rupture (VSR)

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