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Review Question - QID 214811

Atrioventricular (AV) Heart Block Atrioventricular (AV) Block AV Blocks Types Electrocardiogram Findings Treatment   Comments First degree AV block ↑ PR interval (> 0.2 secs) 1:1 ratio of P waves and QRS complexes No treatment is required unless other ECG changes (prolonged QRS)   Typically s QID: 214811 (M2.OMB.4761)
In scope icon M 7 A
QID 214811 (Type "214811" in App Search)
A 67-year-old man with a history of hypertension and diabetes presents to the emergency department after an episode of syncope. The patient was gardening when he suddenly blacked out. His wife found him face down in the garden. The patient has had no chest pain, shortness of breath, or neurological symptoms during this time frame. He has a history of hypertension and hyperlipidemia for which he takes lisinopril and atorvastatin. His temperature is 98.1°F (36.7°C), blood pressure is 82/43 mmHg, pulse is 43/min, respirations are 15/min, and oxygen saturation is 98% on room air. On physical examination, the patient is unable to complete the gait examination as he becomes too light-headed when he attempts to stand up. An ECG is performed as seen in Figure A. Which of the following is the most appropriate next step in management?
  • A
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  • A