CMC Cardiac Medicine Certification

Answer- B - Cushing’s syndrome is unlikely in a patient with hypotension. The main risk factors and causes of hypotension, as outlined by the American Heart Association, include pregnancy; certain pharmacologic agents such as diuretics, beta-blockers, Parkinson disease drugs, tricyclic antidepressants, sildenafil particularly in combination with nitroglycerine, narcotics and alcohol; cardiac conditions such as bradycardia, cardiac valvular disease, myocardial infarction and congestive heart failure; endocrine problems such as hypothyroidism, hyperthyroidism, Addison disease, hypoglycemia and diabetes; blood loss as from major surgery or severe injury; severe infection; allergic reaction; and nutritional deficiency such as vitamin B 12 and folate deficiency, natural aging and dehydration.