Medicalcortexalmost 7 years ago

Loss of counciousness

A 56-year-old man is brought to the Emergency Department. He works as a window cleaner. His colleague describes him suddenly falling from the ladder without warning. On admission he is conscious with a bradycardia of around 36/min. His blood pressure is 110/62 mmHg and he is well perfused with no signs of heart failure. An ECG is taken on account of his bradycardia: A previous ECG taken four months ago was completely normal. What is the most likely diagnosis? A-Sick sinus syndrome B-Stokes-Adams attack with associated complete heart block C-Myocardial infarction with new left bundle branch block D-Second-degree atrioventricular block (Mobitz II) E-Second-degree atrioventricular block (Mobitz I / Wenckebach)