A 65-year-old male with a past medical history of coronary disease presents with palpitations and dizziness for the past 1 hour. He has undergone two coronary angioplasties with stent placements within the last 6 months. His intake vitals were recorded as a pulse of 50 bpm, regular and blood pressure of 90/60 mmHg. On physical examination, the provider notices a frog sign on inspection of the neck. What condition is this finding associated with?

1.Congestive heart failure
2.Atrial septal defect
3.High-grade heart block
4.Wolfe-Parkinson-White syndrome

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