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A 60-year-old male with known ischaemic heart disease presents to the ED with more than 3 episodes of palpitations associated with chest discomfort and dizziness lasting more than 30 seconds each time in the last 24 hours.

His vitals are: BP 100/65, SpO2 96% RA, RR 24.

An ECG is performed.

Recurrent Palpitations

1. What is the diagnosis? List (3) features from the ECG that support your diagnosis. 4 marks

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2. List (4) medications you would consider using - include dose, route and indication for its use. 8 marks

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