Coronary artery disease Quiz: Ace Your Exams
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An 85-year-old man comes to the emergency department because of chest discomfort and shortness of breath that started two hours ago while watching television. Past medical history includes hypertension and hyperlipidemia. During the past 10 years, the patient has had similar episodes of chest pain, which resolved with rest. The patient’s pulse is 94/min, respirations are 22/min, and blood pressure is 134/86 mmHg. The patient appears to be in distress and is diaphoretic. Physical examination shows normal heart sounds with no murmurs or gallops on auscultation. An ECG is obtained (see image below). Treatment is administered, and the patient suddenly reports feeling faint and loses consciousness. Which of the following medications is most likely the cause of the patient’s worsened condition?

Reproduced from: Wikimedia commons

Reproduced from: Wikimedia commons
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