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Medicine General 442df27d

A new systolic murmur after Acute myocardial infarction may be due to all of the following Except:

A
Complete hea block
B
Rupture of Interventricular septum
C
Papillary muscle dysfunction
D
Ischemic cardiomyopathy
High-Yield Explanation
Answer is A (Complete hea block) Complete hea block iv not a cause for new onset systolic murmur after Acute _Myocardial Infarction. Cause of new systolic murmur after Acute Myocardial infarction Papillary muscle dysfunction/rupture (causing severe mitral regurgitation) Rupture of interventricular septum Right ventricular infarction and tricuspid regurgitation Free wall rupture Left ventricular outflow tract obstruction Note: Ischemic cardiomyopathy is defined as dilated cardiomyopathy in a subject with history of MI. This may lead to papillary muscle dysfunction and hence produce a new onset systolic murmur.

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