USMLE Step 1 - Question 16

A 68 year old male suffers a myocardial infarction. Six weeks later he begins to have sharp substernal chest pains radiating to his left neck worse with laying flat and better while sitting up and leaning forward. His electrocardiogram is below. Which of the following is his likely diagnosis?

Pericarditis5

A. Ventricular free wall rupture

B. Acute mitral valve regurgitation

C. Dressler’s syndrome

D. Left ventricular aneurysm

E. Aortic dissection

PROCEED TO ANSWER