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Case Reports in Emergency Medicine
Volume 2014 (2014), Article ID 969562, 3 pages
Case Report

Severe Unexplained Relative Hypotension and Bradycardia in the Emergency Department

Department of Emergency Medicine, University of Florida, 1329 SW 16th Street, P.O. Box 100186, Gainesville, FL 32610-0186, USA

Received 4 October 2013; Accepted 5 November 2013; Published 5 March 2014

Academic Editors: A. K. Exadaktylos and J. D. Lin

Copyright © 2014 Shivam Kharod et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


A precipitous episode of hypotension with concomitant bradycardia is a true medical emergency especially in patients with chronic hypertension and often requires hospitalization for detailed interrogation of the underlying causes. We describe herein a case of a patient with chronic labile hypertension who presented to the ED with a sharp drop in blood pressure and heart rate which was not simply explained by an antihypertensive overdose but more so by an aggregate of the patient’s multiple chronic medical conditions. This report highlights the complexities of treating simultaneous hypotension and bradycardia and the importance of discerning the underpinnings of the causes including past medical issues, patient medications, and the timeline of key events leading to the issue at hand.