Why Is This Patient Profoundly Hypotensive?

A 70-year-old male is brought to the emergency department with subacute shortness of breath and fatigue. Upon searching her father’s home, his daughter reports she found his medication — a nearly empty bottle of metoprolol, 100 mg bid. She believes her father has coronary artery disease. On examination, the patient is confused. His blood pressure is 69/49 mmHg and he has a heart rate of 48 bpm. An ECG reveals the findings seen here. After initiating oxygen and atropine, which of the following is the best treatment for this patient’s presentation?

A. Dual anti-platelet therapy
B. Inamrinone
C. Glucagon
D. Epinephrine

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Christy Crisologo

    Christy Crisologo is SDN’s Editor-in-Chief. She earned her BA in Communications from Asbury University and lives in Texas with her husband (and primary connection to the medical world) and their two young children. 

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