Known Ischemic Heart Disease in Medicine / Internal Medicine — 32yo Man | Cardiology | SMLE Q#14081
SMLE Question #14081
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
A 32-year-old man with a known history of ischemic heart disease presents to the emergency department with sudden onset severe chest discomfort and dyspnea. He appears pale and diaphoretic and is unable to lie flat due to breathlessness. Vital signs: T: 36.8 °C, BP: 78/50 mmHg, HR: 118/min, RR: 26/min, SpO2: 90% on room air. On examination, he has cool, clammy extremities, bibasilar crackles are minimal, and his jugular venous pressure is markedly elevated. Heart sounds are distant, and there is no evidence of external bleeding or trauma. Which type of shock best explains this presentation?
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