6th May 2025

Mr G is a 63-year-old smoker. He presents to A&E with a 1-hour history of chest pain that has now resolved.

Mr G is a 63-year-old smoker. He presents to A&E with a 1-hour history of chest pain that has now resolved. Troponin T levels come back at 1200 ng/ml. He is admitted to the cardiology ward for consideration of angiography, but while on the ward suddenly deteriorates needing oxygen with an elevated respiratory rate. On examination he has a new systolic murmur heard best at the apex and crepitations throughout his lungs. What is the likely cause of his decompensation?

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