Question

A 78-year-old man with syncope has ECG showing complete AV block with ventricular escape at 32/min. He is hemodynamically stable after atropine fails. Best definitive management?

Accepted Answer

Beta-blocker therapy

Answer

Observation only

Answer

Temporary transcutaneous pacing for 24 h then discharge

Answer

Start theophylline

Answer

Dual-chamber permanent pacemaker implantation

Practice question

A 78-year-old man with syncope has ECG showing complete AV block with ventricular escape at 32/min. He is hemodynamically stable after atropine fails. Best definitive management?