Acute Inferior Wall St-elevation in Medicine / Internal Medicine — 60yo Man | Cardiology | SMLE Q#1030

SMLE Question #1030

Medicine / Internal Medicine Cardiology
Last updated: February 2026
A 60-year-old man is admitted to the coronary care unit with an acute inferior wall ST-elevation myocardial infarction. Two hours later, he becomes dizzy and diaphoretic. He has normal heart sounds with no new murmurs and clear lungs. Telemetry shows persistent sinus bradycardia without high-grade AV block. What is the most appropriate immediate management?

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