A 59 year old female presents after fainting while she was watching television. She has been feeling generally fatigued over last three days, she also feels very light headed. She has history of HTN, DM and IHD.

On arrival to triage her vital signs are

Pulse 44/min, BP 110/70 mm HG, SO 99%, RR 17/min.

Her ECG is below.

Question 1

What is your diagnosis?

Question 2

What does the ECG show?

Question 3

What is your next step in managemnt of this patient?

Question 4

What are the treatment principles?