80+ patient presents with 3 dizzy spells and collapse, PR in | Figure 1

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Emergency Medicine

80+ patient presents with 3 dizzy spells and collapse, PR interval: 216, what's the best description for this ECG and what does the patient need (Fig 1: ECG 1, Fig 2: ECG 2, Fig 3,4 ambulance ECGs, are you worried about ST elevations in Fig 3 or do you consider them as part of RBBB? If latter, what about the seemingly dynamic changes? Would you treat as ACS?

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Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this EKG that would warrant further work-up or is this just a pediatric EKG?