A 60 year old male a sudden fall in toilet. His BP was 90/50 mm Hg and pulse was 100/min. His relatives repoed that his stool was black/dark in colour. Fuher careful history revealed that he is a known case of hypeension and coronary aery disease and was regularly taking aspirin, atenolol and sorbitrate. The most likely diagnosis is-
Gastric ulcer with bleeding Acute myocardial infarction with cardiogenic shock Acute cerebrovascular accident Pulmonary embolism