During an open abdominal case in a patient with known CAD, y…

During an open abdominal case in a patient with known CAD, you note new ST-segment depression of 2 mm in leads V4–V5. Heart rate is 64, blood pressure is 128/72, ETCO2 is 36 mmHg, and SpO2 is 100%. There has been no change in surgical stimulation or anesthetic depth, and the pulse oximeter waveform is normal. Which of the following best explains this finding and identifies the most appropriate first treatment?