17th May 2025

A 62-year-old male was brought in by ambulance following a witnessed fall.

A 62-year-old male was brought in by ambulance following a witnessed fall. He did not lose consciousness and recovered from the episode quickly. He has a history of myocardial infarction and inguinal hernia managed with Captopril, Metoprolol, Aspirin, Atorvastatin and Omeprazole. 24-hour ECG showed normal sinus rhythm, and heart rate ranges between 40 and 97 beats per minute. There were frequent ventricular and supraventricular ectopic beats, 3 beats of atrial fibrillation and a 2 second pause was seen at 3:15 am. No symptoms were noted.

What is the most appropriate management?

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