A 60-year-old male presents to the Emergency Department with complaints of light-headedness and palpitations. He has a past medical history of hypertension and diabetes.
His observations at triage are blood pressure 140/90 mmHg, heart rate 60 beats per minute, respiratory rate 16 breaths per minute and SpO2 98% on room air.
An ECG is obtained which shows a bifascicular block.
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What is the most appropriate initial management for a stable patient with newly diagnosed bifascicular block?
Which of the following additional findings on the ECG would suggest this patient is at higher risk for progression to complete heart block?
The patient asks you if he is allowed to take his usual medications, which are now due. Which of the following should he not take this morning?
What would make you refer this patient for a permanent pacemaker?