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You are providing care for a patient in the emergency
A 62-year-old man is admitted to your unit with the diagnosis of acute subendocardial infarction. At present he has no chest pain and his vital signs are normal. As you talk with him, he complains of shortness of breath. His blood pressure is 80/50 mm Hg, pulse 118, respiratory rate Heart sounds are easily heard but he has a new systolic murmur, grade V/VI. Hemodynamic data indicate the following: Pulmonary artery pressure 38/25 PAOP 24 CVP 7 Cardiac output 3.2 Cardiac index 1.7 5. Based on the preceding information, which condition is likely to be developing? (A) pericardial tamponade (B) mitral valve rupture (C ventricular wall rupture (D) aortic valve rupture
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