A 68-year-old man with a history of diabetes mellitus had chest pain and an elevated serum...

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A 68-year-old man with a history of diabetes mellitus had chest pain and an elevated serum troponin I level 1 year ago. He was treated in the hospital with antiarrhythmic agents for 1 week. An echocardiogram showed an ejection fraction of 28% He now has markedly reduced exercise tolerance. On physical examination, his temperature is 37°C, pulse is 68/min, respirations are 17/min, and blood pressure is 130/80 mm Hg. Diffuse crackles are heard on auscultation of the lungs. The representative gross appearance of the heart is shown in the figure. Which of the following complications of this disease is the patient most likely to develop? □ (A) Atrial myxoma (B) Cardiac tamponade (C) Constrictive pericarditis (D) Hypertrophic cardiomyopathy (E) Infective endocarditis (F) Systemic thromboembolis m A 68-year-old man with a history of diabetes mellitus had chest pain and an elevated serum troponin I level 1 year ago. He was treated in the hospital with antiarrhythmic agents for 1 week. An echocardiogram showed an ejection fraction of 28% He now has markedly reduced exercise tolerance. On physical examination, his temperature is 37°C, pulse is 68/min, respirations are 17/min, and blood pressure is 130/80 mm Hg. Diffuse crackles are heard on auscultation of the lungs. The representative gross appearance of the heart is shown in the figure. Which of the following complications of this disease is the patient most likely to develop? □ (A) Atrial myxoma (B) Cardiac tamponade (C) Constrictive pericarditis (D) Hypertrophic cardiomyopathy (E) Infective endocarditis (F) Systemic thromboembolis m

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