Vaskulärer Fall: 37-jähriger Mann mit erhöhtem Blutdruck nach einem Motorradunfall von Joseph Alpert, MD

A 37-year-old man is admitted to the trauma service after a serious motor vehicle collision. He was wearing his seat belt, and the airbag deployed correctly. On physical examination, the patient is awake and alert, his blood pressure is 155/69 mm Hg, his heart rate is 106 beats/min, and his peripheral oxygen saturation is 93%. His chest and leg are painful, and multiple minor and superficial contusions are noted. After appropriate imaging studies, multiple rib fractures and a femur fracture are noted. A chest x-ray shows negative results for pneumothorax. Results of a CT scan of the abdomen are unremarkable. ECG shows nonspecific ST- and T-wave changes. An echocardiogram indicates reduced right ventricular systolic function. Blood troponin levels are elevated. Which of the following is the most likely diagnosis?

A 37-year-old man is admitted to the trauma service after a serious motor vehicle collision. He was wearing his seat belt, and the airbag deployed correctly. On physical examination, the patient is awake and alert, his blood pressure is 155/69 mm Hg, his heart rate is 106 beats/min, and his peripheral oxygen saturation is 93%. His chest and leg are painful, and multiple minor and superficial contusions are noted. After appropriate imaging studies, multiple rib fractures and a femur fracture are noted. Appropriate diagnostic testing reveals myocardial contusion. Which of the following is the best next step in the treatment of the patient?