Acute Clinical Deterioration in Medicine / Internal Medicine — 68yo Man | Cardiology | SMLE Q#949

SMLE Question #949

Medicine / Internal Medicine Cardiology
Last updated: February 2026
A 68-year-old man is in the ICU after an extensive anterior ST-elevation myocardial infarction with acute clinical deterioration. He is intubated and receiving vasopressor support for hypotension and low urine output. A pulmonary artery catheter shows low cardiac output and an elevated pulmonary capillary wedge pressure. Which type of shock best explains these hemodynamic findings?

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