8th March 2024

Mr. Roberts is a 37-year-old man who was admitted to the acute coronary care unit following presentation with an acute anterior myocardial infarction for which he had PCI to his left anterior descending artery with a drug eluting stent.

Mr. Roberts is a 37-year-old man who was admitted to the acute coronary care unit following presentation with an acute anterior myocardial infarction for which he had PCI to his left anterior descending artery with a drug eluting stent. His echocardiogram prior to discharge showed preserved LV ejection with no pericardial effusion. Four weeks later, he presents to the ED with fatigue, fever, difficulty breathing and chest pain. He was tachycardic with a heart rate of 107/min and BP of 110/70mmHg. He had laboured breathing and found it more comfortable to be propped up in bed. Bloods showed elevated inflammatory markers and ECG showed anterior Q waves. What is the most likely diagnosis?

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