You are evaluating a patient with 15-minute duration of chest pain during transportation to the emergency department. He

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You are evaluating a patient with 15-minute duration of chest pain during transportation to the emergency department. He is receiving oxygen, and 2 sublingual nitroglycerin tablets have relieved his chest discomfort. He has no complaints but appears anxious. Blood pressure is 130/70 mmHg. You observe the above rhythm on the monitor and your next action is

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A. Give atropine 0.5 mg IV
B. Initiate transcutaneous pacing (TCP)
C. Continue monitoring patient, prepare for TCP
D. Administer nitroglycerin 0.4 mg SL E. Start epinephrine 2 to 10 ug/min and titrate