HY USMLE Q #1010 – Cardiopulm

A 41-year-old woman is in hospital following a Caesarean section performed two days ago. After getting up to go to the bathroom, she experiences acute onset shortness of breath. Heart rate is 110. ECG shows sinus rhythm. If death occurs due to failure of administration of appropriate pharmacologic therapy, which of the following is the most likely mechanism of patient demise?

  Decreased left ventricular contractility
  Increased pulmonary capillary wedge pressure
  Pulmonary shunt
  TNF-α-mediated vasodilation and vascular permeability
  Ventricular fibrillation