ECG Case 153

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ECG Case 153

A 55-year-old man with a severe nonischemic cardiomyopathy is treated with furosemide, carvedilol, lisinopril, and spironolactone.

One month after starting therapy, he feels very tired and weak. At presentation, his blood pressure is 70/40 and his mentation is impaired.

What’s the Diagnosis ?