Long-standing Ischemic Heart Disease in Medicine / Internal Medicine — 68yo Man | Cardiology | SMLE Q#18013
SMLE Question #18013
Medicine / Internal Medicine
Cardiology
Objective: OBJ-163
Last updated: February 2026
A 68-year-old man with long-standing ischemic heart disease and prior myocardial infarction presents to the emergency department with sudden severe shortness of breath and cough producing pink, frothy sputum. He is anxious and cannot speak full sentences. Examination shows diffuse bilateral crackles and an S3 gallop. Which hemodynamic change is most expected?
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