Challenger Medical Education Blog

75-year-old man with a history of hypertension

Written by Med-Challenger | Dec 13, 2024 8:17:25 PM

A 75-year-old man with a history of hypertension presents to you for evaluation of intermittent episodes of dizziness over the past several days. He is currently without any dizziness and notes no chest pain, shortness of breath, or focal weakness/numbness.

His blood pressure today is 160/80 mm Hg. Physical examination is unremarkable except for tachycardia. He is on hydrochlorothiazide for hypertension.

Electrocardiography (ECG) is obtained (see Figure).

Figure.

Based on the information provided, what would be the best next step in the management of this patient's condition?

  • emergent cardioversion
  • amlodipine
  • observation
  • intravenous diltiazem

 

This question appears in Med-Challenger Family Medicine Exam Review with CME

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