USMLE Step 3 - Question 47

A 82 year old male with a history of hypertension and coronary artery disease presents with generalized fatigue. His medications include metoprolol, amlodipine, aspirin and simvastatin. His temperature is 37.0, blood pressure 100/60, heart rate 50, respirations 20, and oxygen saturation 95% on room air. Physical examination is normal except for a slow heart rate. Laboratory studies are normal. His ECG is below (strip only). Which of the following is the most appropriate course of action?

Step2-Q47-PIC1

A. Discontinue metoprolol

B. Administer atropine

C. Pacemaker implantation

D. Observation

PROCEED TO ANSWER