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HypotensionTreat underlying bradycardiaConsider intravenous vasopressor infusionsuch as dopamine or norepinephrine.

Beta-blockers can precipitate or aggravate symptoms of arterial insufficiency in patients with peripheral vascular disease.

BradycardiaEvaluate the need for atropineadrenergic-stimulating drugs or pacemaker to treat bradycardia and conduction disorders.

Clinical laboratory findings may include elevated levels of serum transaminasealkaline phosphataseand lactate dehydrogenase.

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