HY USMLE Q #1193 – Cardiology

A 68-year-old man is brought to hospital following an episode of crushing chest pain. ECG on admission showed ST-segment elevations in the anterior leads. 48 hours after hospitalization he experiences acute-onset dyspnea. There are diffuse crackles one-third of the way up both lung fields. Which of the following is the most likely explanation for this patient’s acute presentation?

  2/6 diastolic blowing murmur with bounding pulses
  2/6 diastolic rumbling murmur
  2/6 holodiastolic-holosystolic murmur
  2/6 holosystolic murmur
  2/6 midsystolic murmur

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