Dr. Yogesh Varma (Internal Medicine) needs a second opinion on this medical case.
81-year-old male presented to the ED complaining of difficulty breathing over the last several days. He denies being around anyone positive or high risk for COVID-19. He further denies any chest pain. Initially his SpO2 is 75% on RA. During your assessment you note +2 edema in the peripheral lower extremities. The patient denies any history of CHF. Shortly after the patient becomes unresponsive with a 10 second period of asystole on the monitor. Quickly regains consciousness with a rhythm of sinus brady. Below is the ECG. Now it’s your turn. What would you like to know and what is our course of action?
PMH of Diabetes
What do you see?