Sudden in Medicine / Internal Medicine — 62yo Man | Cardiology | SMLE Q#1794
SMLE Question #1794
Medicine / Internal Medicine
Cardiology
Last updated: February 2026
A 62-year-old man was discharged 4 days ago after treatment for an acute ST-elevation myocardial infarction. He is taking new cardiac medications as prescribed. He presents with sudden, painless swelling of the lips, face, and tongue that began 1 hour ago. He denies rash, wheeze, or itching but has a muffled voice. His medications include aspirin, clopidogrel, high-intensity atorvastatin, metoprolol, and ramipril. Which medication is the most likely cause of his presentation?
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