68M presenting to ER with progressive SOBOE with increased w | Figure 1

MSarto
Registered Nurse

68M presenting to ER with progressive SOBOE with increased weakness, loss of energy, and appetite since the past 6 weeks, worsening in the past 2 weeks. I'm triage, appeared SOB post ambulating, also noting orthopnea, and slight pallor. Nomotensive but on the lower side, requiring minimal O2 (45yrs smoker), afeb. Name that rhythm strip and intervention(s). Dx and DDx please

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