QuestionSBA
QuestionChoice
This is correct. Persistent ST elevation with fatigue is suggestive of an left ventricle aneurysm post-myocardial infarction.
10028401
a
Left Ventricular Aneurysm
QuestionChoice
This is a form of acute pericarditis post myocardial infarction. This is less likely as the patient only reports fatigue and no chest pain and the ECG does not show global ST elevation or PR depression.
10028403
c
Dressler's Syndrome
QuestionChoice
This is unlikely as the patient is asymptomatic. Silent myocardial infarctions, whereby no pain is felt do occur, but these are more common in females and diabetics. Persistent territorial ST elevation is more characteristic of a left ventricular aneurysm.
10028402
b
Repeat myocardial infarction
QuestionChoice
The patient has no symptoms suggestive of pulmonary oedema such as breathlessness or peripheral oedema.
10028404
d
Pulmonary Oedema
QuestionChoice
This may be more acute than Dressler's in timeframe. This is less likely as the patient only reports fatigue and no chest pain and the ECG does not show global ST elevation or PR depression.
10028405
e
Pericarditis
QuestionComment
such a vague bloody question 

51896
QuestionComment
Clearly need more time on the wards!
53602
User
subscriber
Dr. Moe Lester
User
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C.difficult
Concept
Chapter
2693
3713
Myocardial infarction and Acute Coronary Syndrome (ACS)
Topic
134
Cardiology
18078
Persistent ST elevation after a myocardial infarction, along with fatigue, may indicate the development of a left ventricular aneurysm.
A 68 year old man is reviewed by his GP six weeks after he developed an anterior myocardial infarction. The GP performs an ECG which demonstrates ST elevation in the anterior leads. The patient reports fatigue but denies other symptoms.

What is the most likely diagnosis?
a