1. 39-year-old john presents to you for a routine check-up. He suffers from migraines and on metoprolol for it. His systemic review is normal apart from occasional dizziness which he says nettles by itself. He is asymptomatic at present. On examination, BP is 145/83 mmHg. Sats 99 on room air. The chest and CVS examination are normal.

Question 1

You do a routine ECG. ECG is given below. What is your diagnosis?

2. 39-year-old john presents to you for a routine check-up. He suffers from migraines and on metoprolol for it. His systemic review is normal apart from occasional dizziness which he says nettles by itself. He is asymptomatic at present. On examination, BP is 145/83 mmHg. Sats 99 on room air. The chest and CVS examination are normal.

Question 2

How would you manage John? Write (3) management steps in note form.