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This leads to profound systemic hypotension and pulseless electrical activity. As the pressure increases in the pericardial cavity, venous return to the heart is reduced. This complication of transmural (ST-elevation) myocardial infarction generally occurs 3 to 7 days after the onset of total ischemia, when coagulative necrosis neutrophil infiltration and enzymatic lysis of connective tissue have substantially weakened the infarcted myocardium (mean 4-5 days range 1-10 days).įree wall rupture causes cardiac tamponade, which greatly limits ventricular filling during diastole.

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The gross autopsy specimen shows a ruptured left ventricular (LV) free wall. The patient most likely died from which of the following? The autopsy findings are pictured below (RV = right ventricle, LAD = left anterior descending coronary artery). Spread the word about it and earn 10.00% of the purchase price on sales you refer.Q NO 1: A 62-year-old Caucasian female hospitalized with acute myocardial infarction dies suddenly on day four of her hospitalization.

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#DOWNLOAD USMLE WORLD STEP 1 QB SERIES#

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Download usmle world step 1 qb