Mitral valve disease Quiz: Ace Your Exams
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A 70-year-old woman is being evaluated in the cardiac telemetry unit for sudden onset dyspnea. Three days prior, she underwent percutaneous coronary intervention, which demonstrated right coronary artery stenosis. The ECG at that time demonstrated ST-segment elevation in leads II, III, and aVF. Current temperature is 37.0°C (98.6°F), pulse is 120/min, respirations are 20/min, and blood pressure is 90/50 mmHg. On physical examination, the following murmur pattern is appreciated over the 5th left midclavicular intercostal space. Which of the following is the most likely explanation for this patient’s new onset dyspnea?


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