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Program Progress:

You are incorrect - the most likely diagnosis in our patient is acute mitral regurgitation due to rupture of the chordae tendineae.


Your choice: Acute myocarditis

In patients with acute myocarditis, mitral regurgitation occurs as a consequence of left ventricular dilatation with subsequent malfunction of the mitral apparatus. In these patients, the apical impulse is frequently inferolaterally displaced.