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   The patient's dyspnea has improved with a combination of nasal oxygen and furosamide 20 mg IV. BP is 220/120 mm Hg in the left arm and 120/90 mm Hg in the right arm. He continues to have 8/10 intensity pain which has moved to the epigastric region.

Which of the following is NOT indicated in the management of this patient who is awaiting angiography and surgery?

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