A 60 years old male had a sudden fall in toilet. His BP was 90/50 mm Hg and PR= 100/min. His relatives repoed that he is a known case of hypeension and CAD plus had a history passing black tarry coloured stools (multiple episodes) and was regularly taking aspirin, atenolol and sorbitrate. The most likely diagnosis:
Gastric ulcer with bleeding Acute MI with cardiogenic shock Acute CVA Pulmonary embolism