KROK 1 2013 – Question 31 · KROK (Medicine) · Pathomorphology
A 60-year-old patient with a long history of atherosclerosis and a previous myocardial infarction developed an attack of retrosternal pain. 3 days later the patient was hospitalized and then died of progressive cardiovascular insufficiency. At autopsy a white fibrous depressed area about 3 cm in diameter with clear boundaries was found in the posterior wall of the left ventricle and interventricular septum. The dissector evaluated these changes as:
- A. Myocardial ischemia
- B. Focal cardiosclerosis
- C. Myocardial infarction
- D. Myocarditis
- E. Myocardial degeneration
Hint
Judge the age of the lesion from its colour, consistency and sunken surface rather than from the clinical history alone.
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