A patient with acute myocardial infarction suddenly develops a new harsh systolic murmur and worsening breathlessness. Which complication should the nurse suspect?
Correct answer: A. Ventricular septal rupture
- A. Ventricular septal rupture
- B. Uncomplicated sinus bradycardia
- C. Stable coronary artery spasm
- D. Chronic peripheral oedema
Explanation
A new harsh systolic murmur with sudden heart failure after myocardial infarction suggests ventricular septal rupture. It is an urgent mechanical complication because abnormal blood flow rapidly increases cardiac workload.
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About Cardiovascular Nursing
Covers assessment and nursing care for hypertension, coronary artery disease, angina, myocardial infarction, heart failure, valvular disease and dysrhythmias. It includes interpreting vital signs and ECG findings, managing chest pain, monitoring cardiac medicines, recognizing complications and distinguishing left-sided from right-sided heart failure.
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