A 41-year-old man presented to the emergency
A 41-year-old man presented to the emergency department (ER) with the complaint of fever and cough for the past 2 days. The symptoms were associated with mild shortness of breath and chills. He denied chest pain, dizziness, syncope, or fatigue. His medical history included childhood asthma and gastroesophageal reflux disease, for which he takes albuterol as needed and omeprazole. He lifts weights 3 times a week and jogs 4 miles every other day. His ED vitals revealed a heart rate of 45 bpm, blood pressure of 125/75 mm Hg, respiratory rate of 18 breaths/min, and oxygen saturation of 98% on room air. His physical examination, including a heart and lung examination, was unremarkable. ECG shows sinus bradycardia with no ST-T-wave changes. Chest x-ray in the ED showed right lower lobe infiltrates. He was started on antibiotics and was transferred to the telemetry floor for further management. How would you manage this patient’s bradycardia? (Please address the bradycardia in this patient and not the other symptoms).
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