Abstract
A 70-year-old black man with a history of hypertension and idiopathic cardiomyopathy was admitted to our hospital after presenting to the emergency department with cellulitis, sepsis, respiratory failure, and acute renal failure. The initial ECG revealed atrial fibrillation with a rapid ventricular response and a left bundle-branch block (LBBB). The ventricular response was accelerated by vasopressor agents administered for septic shock. He received intravenous esmolol …
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