Valvular Heart Disease USMLE Step 1 Practice Question
A 51 year old woman with a history of rheumatic fever presents with worsening dyspnea and palpitations. Pulse is irregularly irregular. Auscultation reveals a loud S1, opening snap, and low frequency diastolic rumble at the apex. Which of the following complications is she at highest risk of developing because of this valvular lesion?
Answer choices
- ALeft ventricular free wall rupture
- BAcute ventricular septal rupture
- CInfective vegetation on the pulmonic valve
- DPulmonary valve calcification
- ELeft atrial thrombus with systemic embolizationCorrect answer
- FRight ventricular hypertrophy with eventual cor pulmonale
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