50-year-old man comes to the emergency department due to acute onset respiratory difficulty. He also has
periorbital, circumoral and facial edema. He denies any itching or skin rash. Two weeks ago, he experienced chest
pain, profuse sweating and anxiety, and was subsequently admitted to the cardiac intensive care unit. At that time,
his ECG showed ST segment elevation and Q waves in the inferior leads. He was taken to the catheterization lab
and had an angioplasty with stent done for 100% occlusion of the right coronary artery. He was discharged with
the following medications: aspirin, clopidogrel, metoprolol, enalapril, simvastatin and isosorbide mononitrate. In the
ED, his pulse is 102/min, blood pressure is 110/70 mmHg, respirations are 24/min and temperature is 36.8°C
(98.4°F). Which of the following is most likely responsible for his present symptoms?
- Q A. Metoprolol
- 0 B. lsosorbide
- 0 C. Clopidogrel
- 0 D. Aspirin
- 0 E. Enalapril
- 0 F. Simvastatin
0 voters