5th May 2025

Mr Taylor is a 45-year-old male who presents to the emergency department in an ambulance with shortness of breath and chest heaviness.

Mr Taylor is a 45-year-old male who presents to the emergency department in an ambulance with shortness of breath and chest heaviness. He states the symptoms came on suddenly whilst he was at work and noticed feeling slightly sweaty and breathless whilst working on his laptop. He has a past medical history of type 2 diabetes, hypertension and hypercholesterolemia. He is afebrile. He is given a loading dose of Aspirin and Ticagrelor by the paramedics. He states feeling slightly better after receiving some oral morphine and intravenous metoclopramide. He is transferred to the Cath lab on arrival to hospital and undergoes PCI to the right coronary artery. Post-PCI, he is transferred to the ward in a monitored bay where you notice the below rhythm on his ECG monitor. You note a heart rate of 60 beats per minute and a blood pressure of 75/50mmHg. He is drowsy but responsive to voice. He has IV access established. What is the next most appropriate step in his management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.