HPI
A 50-year-old man decides to get "his life in order" for the new year. He quits smoking, decides to eat healthier, exercise more, and to be more compliant with his blood pressure medications. A week into the new year he wakes up feeling weak and achy with nausea and vomiting. He is lightheaded when sitting or standing and has trouble getting out of bed. He is found to be hypotensive and bradycardic by EMS. The following ECG is obtained on arrival to the emergency department:
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