QuestionSBA
QuestionChoice
Cardiac tamponade characteristically presents with a triad of hypotension, muffled heart sounds and a raised JVP. Additionally, the ECG would typically show electrical alternans (variation in the height of QRS complexes).
10002315
d
Cardiac tamponade
QuestionChoice
This patient is presenting with signs and symptoms suggestive of Dressler syndrome, particularly given the history of myocardial infarction 3 weeks ago. Dressler's syndrome is a type of pericarditis which is thought to be immune-mediated, whereby antibodies are produced against damaged cardiomyocytes. This results in inflammation and symptoms of chest pain.
10002312
a
Dressler syndrome
QuestionChoice
Although a ventricular septal defect is a potential complication following myocardial infarction, it usually presents as acute heart failure with a pan-systolic murmur.
10002316
e
Ventricular septal defect
QuestionChoice
Infective endocarditis would classically present with a fever and the presence of a new murmur on cardiovascular examination.
10002313
b
Infective endocarditis
QuestionChoice
Although it is possible for patients to experience another myocardial infarction following a previous one, the ECG shows widespread ST-elevation (as opposed to ST-elevation in specific leads), which is more suggestive of Dressler syndrome.
10002314
c
Myocardial infarction
Concept
Chapter
2693
3708
Pericarditis
Topic
134
Cardiology
13009
Picture
1510
Pericarditis10.jpeg
images/2zx8ymby1682080564436.jpg
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images/2zx8ymby1682080564436_512.jpg
IzgGA4AneHh/h4eIDXykgDY=
Topic
134
Cardiology
A 67-year-old male presents to the Emergency Department complaining of chest pain. He recently suffered a myocardial infarction 3 weeks ago and had previously been well until today. He has a past medical history of hypertension and hypercholesterolaemia. His current medications include aspirin, clopidogrel, ramipril, bisoprolol and atorvastatin.

The patient's observations are as follows: heart rate 78 bpm regular, blood pressure 135/78 mmHg, respiratory rate 16 breaths/minute, SpO2 97% on air, temperature 37.6 degrees Celsius. Cardiovascular examination reveals normal I and II heart sounds, with no added sounds.

An ECG is conducted and is shown below:

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What is the most likely diagnosis?
a