76-M with severe valvular aortic stenosis awaiting AVR presented to the hospital with recurrent dizziness and a witness syncopal event. In the ER, he is ‘dizzy’ and somewhat ‘drowsy’. His BP was measured at 90/60 mmHg with a pulse rate of 140/min. A 12-lead ECG was obtained and shown to you.
1.What does the ECG show?
2.What is the next step in management?
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