28th July 2023

You review an 82 year old gentleman in A&E resuscitation with confusion.

You review an 82 year old gentleman in A&E resuscitation with confusion. On examination, he has slowed reflexes and a temperature of 31 degrees Celsius. His BP is 82/67mmHg, pulse rate 48bpm, respiratory rate 9, saturating 97% on 15L O2, and his GCS is 9/15. Fingerpick glucose was 5.3.

Which of the following ECG changes might you see in this patient?

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