6th March 2024

A 79-year-old lady is in the intermediate care unit after suffering an inferior posterior myocardial infarction, treated medically.

A 79-year-old lady is in the intermediate care unit after suffering an inferior posterior myocardial infarction, treated medically. You are auscultating her and notice a blowing holosystolic murmur. Upon checking her notes, you do not see any previous mention of murmur. Her observations are normal, and the rest of the clinical examination is normal. Which of the following causes could explain this new murmur?

Select the SINGLE most appropriate option from the list below. Select ONE option only.