ECG Challenge: Hypotension in a Cardiomyopathy Patient

Philip J. Podrid, MD


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.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.