USMLE Step 3 - Question 15

A 58 year old male with a history of hypertension and diabetes presents to the emergency room with chest pain at rest. He is afebrile, blood pressure is 110/70, heart rate 70, and respirations 18. Physical examination reveals normal lung sounds, normal jugular venous pressure, and an S4 heart sound. Laboratory studies are initially normal. His ECG is below. What complication is most commonly associated with this patient's diagnosis?


A. Acute mitral regurgitation

B. Left ventricular thrombus

C. Left ventricular aneurysm

D. Left ventricular rupture