Shock

A 63 year old male is admitted through the ER. He presented with acute shortness of breath. On admission his BP was 90/50, heart rate 110, PaO2 80 on 100% oxygen. His ECG shows left ventricular hypertrophy with T wave across his antero-lateral leads. His chest x-ray shows cardiac hypertrophy with bilateral infiltrates. He has a history of hypertension, treated with lisinopril, and has a 40 pack-year history of smoking.

What is your diagnosis and how would you manage this patient?

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