Your patient is an 82-year-old female with a suspected MI. While en route to the hospital, you note that her systolic blood pressure, which had been stable, has started to drop, and she is becoming confused. At the same time, her heart rhythm converts to sinus tachycardia. You should suspect

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Your patient is an 82-year-old female with a suspected MI. While en route to the hospital, you note that her systolic blood pressure, which had been stable, has started to drop, and she is becoming confused. At the same time, her heart rhythm converts to sinus tachycardia. You should suspect