A middle-aged male had several episodes of chest pain during……..

A middle-aged male had several episodes of chest pain during the last two years. He was admitted to the hospital following a very severe attack which ended in shock. The pain began about an hour before he was admitted. The most likely outcome in this case is:
A. survival with reduced cardiac reserve
B. death due to congestive heart failure in the third week
C. rupture of the myocardium
D. cerebral embolism from a mural thrombosis
E. pulmonary embolism