68-year-old woman comes to the emergency department due to sudden onset of chest pam associated with 2 episodes of vomiting
Past medical h istory includes hypertension for which she takes hydroch\ornth1azide Blood pressure Is 80150 mm Hg, pulse is 60Jmin,
and respirations are 14/min ExammatIon shows diaphoresis, elevated jugular venous pressure, and a positive Kussmaul’s sigrt Her
lungs are clear to auscultat10n ECG shows 2–mm ST-segment elevat,on m leads 11, Ill and aVF and 1-mm ST-segment depression in
leads I and a/1… Whteh of the following is the most likely cause of th is patie nt’s hypotens10n?
- QA lnterventricular septum rupture
- QB lntravascular volumedepletion
- Q C Pulmonary embolism
- Q D Right ventncular infarction
- Q E Yanantang1na
0 voters