Question category: Cardiology
A 70 year old man with Chronic Renal Impairment and Hypertension presents with chest pain and is found to have an acute anterolateral myocardial infarction. He is referred for PCI. 2 days later you are asked to review him as his legs appear dusky and his left big and second toe are blue and there is evidence of splinter haemorrhages on his toe nails. His BP is 150/90 mmHg and his pulse is regular and has a rate of 80 bpm. On auscultation his heart sounds are normal however there is evidence of a left femoral bruit.