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Question category: Cardiology

A 62 year old woman undergoes thrombolysis for a myocardial infarction. After 48 hours you are asked to review here as she is complaining of shortness of breath and her saturations have dropped to 92 per cent. Her blood pressure is 100/65 mmHg and is tachycardic 110 bpm. On auscultation she has a systolic murmur, loudest at the apex, and bilateral crackles to mid zone. What is the likely cause for her deterioration?

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