ECG Challenge: Hypotension in a Cardiomyopathy Patient

Philip J. Podrid, MD

Disclosures

March 23, 2021

A 69-year-old woman with a history of nonischemic cardiomyopathy — treated with a beta-blocker, angiotensin-converting enzyme inhibitor, and spironolactone — presents with worsening shortness of breath and hypotension. A chest x-ray demonstrates pulmonary edema, and laboratory data show acute renal insufficiency. A 12-lead ECG is obtained.

Figure 1. Courtesy of Dr Podrid.

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