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A 71-year-old man with diabetes and hypertension presented with progressive dizziness and fatigue. He was conscious, oriented with pulse rate and blood pressure of 34/min and 90/60 mm HG. ECG showed marked bradycardia with absent P waves (figure 1). The QRS complex was widened with intraventricular conduction defect. There was ST-segment elevation in V2-V3 with tall peaked T waves. His creatinine was elevated …
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