Medicine

at a Glance

Fourth EditionEdited by Patrick Davey

Multiple Choice: Cardiovascular disease

Question 1.A 35-year-old woman presents with left-sided chest pain, catching her on deep inspiration, present for 8 hours, and associated with breathlessness. Examination shows a heart rate of 90 bpm, BP 110/60, Po2 of 95% and an otherwise unremarkable cardiorespiratory examination. Her ECG shows pan-anterior T wave inversion, and her troponin is 1.5 (upper normal limit, 0.05). The most likely diagnosis is which of the following?

A An acute coronary syndrome
B Pulmonary embolism
C Pneumonia
D Apical ballooning cardiomyopathy
E Myocarditis
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