ECG of the Month: Law Student with Syncope

A 36-year-old male university student of far east Asian heritage with no significant past medical history presents with syncope. He is not a habitual smoker, but smokes a couple of cigarettes rarely on weekends when he watches games on TV with his friends. He has no history of hypertension, diabetes, heart failure, or renal disease. An ECG obtained at the emergency department is as shown (Figure 1), and he is referred for cardiology consultation to address the result.

Figure 1

Figure 1

You are asked to review the ECG and recommend next steps. Which of the following would you advise him?

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