A 68 year old male has experienced substernal chest pain on slight exertion with increasing frequency over the past 8 months. An EKG reveals T wave inversion in the anterolateral leads at rest. He has a total serum cholesterol of 7.2 mmol/l. On Coronary Angiogram, he has an 80% narrowing of the LAD Artery.
Which of the following events is most likely to occur in this patient?
- a systemic artery embolus from thrombosis in a peripheral vein
- a systemic artery embolus from a left atrial mural thrombus
- pulmonery embolism from a left ventricular mural thrombus
- a systemic artery embolus from a left ventricular mural thrombus
- pulmonary embolism from thrombosis in a peripheral vein
Please Leave your comments and explanations in the box below
4 - a systemic artery embolus from a left ventricular mural thrombus
ReplyDeleteI agree with Roman - Choice 4. So - What was done for his increasingly symptomatic 80% LAD narrowing?
ReplyDelete4- This Man is suffering from CAD with an Impending MI. Infarction of the LAD can cause necrosis of LV. Dyskinetic LV can give rise to thrombus. Therefore he is at risk of thrombus from LV.
ReplyDelete