A patient with an acute MI on a 12-lead ECG transmitted by the paramedics has the above findings on a rhythm strip when a monitor is placed in the ED. The patient had resolution of moderate (5/10) chest pain with three doses of sublingual nitroglycerine. BP is 104/70 mm Hg. Which intervention below is most important, reducing in-hospital and 30-day mortality?
atropine 1 mg IV, total dose 3 mg as needed
Temporary pacing
reperfusion therapy
intravenous nitroglycerin for 24 hours
atropine 0.5 mg IV, total dose 2 mg as needed
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