A 78yo male woke up in the morning feeling dizzy. The patient was well when lying down, but became light headed every time he got up. He waited, but symptoms did not improve, so later in the afternoon he attended the Care Centre.
Not all the past history is available, but there is a history of CAGS and atrial fibrillation/flutter for which he was on Diltiazem.
The patient was alert and well and there was no chest pain or SOB. The blood pressure was 130/80 and the heart rate was very slow, as you see below. What does the ECG show? What is the diagnosis and what do you do now?
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Published on: 29/02/2024