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Electrical instability in a healthy 50 year old. How to manage?

Dr. Smith's ECG Blog

Previously healthy, taking no medication and exercising regularly. No anginal symptoms asymptomatic during physical exercise. CT coronary angiogram showed a hypoplastic RCA and dominant LCx. Below in Figure-1 is this patient's admission ECG. How will you manage this patient? No PVCs are seen. or is wider than 130 msec.,