Known Ischemic Heart Disease in Medicine / Internal Medicine — 32yo Man | Cardiology | SMLE Q#14081
SMLE Question #14081
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 32-year-old man with known ischemic heart disease presents to the emergency department with sudden severe chest discomfort and dyspnea. He is pale, diaphoretic, and cannot lie flat. Examination shows cool clammy extremities, markedly elevated jugular venous pressure, minimal bibasilar crackles, and distant heart sounds. There is no external bleeding, trauma, or fever. Which type of shock best explains this presentation?
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