rida
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A 32 year old ice skater suddenly dies on the ice during a performance in which he has lifted his wife over his head into the air many times. At autopsy, what would most likely be found in his heart?
A) Mitral valve prolapse
B) Injecteve myocarditis
C) Chronic ischemic heart disease
D) Aortic outflow obstruction
E) Acute thrombosis of the LAD
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| mash
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i think it shud be mitral valve prolapse
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| Idiopathic
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I agree...acute cause of death often MVP (i.e. Marfans)
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| mdwannabe
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Outflow obstruction, due to septal hypertrophy. D
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| piter
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yeah D. sudden death - hypertrophic cardiomyopathy - outflow obstracton
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| peekay
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why not acute thrombosis of LAD.it is an acute presentation
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| medical1
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in chronic ischaemia collateral circulation may develop so sudden death may not occur limiting the size of infarction. my answer is D.
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| intern_doc
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Sound like a TRUE life story
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| Rachana
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what is the answer Rida?
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| suvi21
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Young adult, athletic...sudden cardiac death... sounds like hypertrophic cardiomyopathy. The closest ans is outflow obstruction
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| rida
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The answer is D guys, good job!
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| bluestar
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Guys, just out of curiosity, do you still remember FLo Hyman, the great woman's volleyball player who led the US to a silver medal at the 1984 Olympics in Los Angeles?? She abruptly died of Marfan syndrome at the age of 32.
I've always wondered how can a Marfan patient achieve so much in an intensive sport. How can someone with weakened elastic fibres of connective tissue and potential lens dislocation, cystic media dissection endure the daily training and the tension of competitions?
I brought this up just as a reminder that Marfan syn can also be a cause of sudden death in young athelets even though I agree in the borad exam if you are given such a question of sudden death of athelet the answer would more likely to be "hypertrophic cardiomyopathy". :P
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| mani
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vent outflow obstruction and MVP both are cause of sudden death but latter in marfan's. what thing in this question refers to marfan's??
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