Final answer:
A patient with syncope and increased PR and QRS duration is most likely experiencing a third-degree heart block. In this condition, there is no correlation between atrial activity and ventricular activity, leading to a decreased heart rate.
Step-by-step explanation:
A patient with syncope and increased PR and QRS duration is most likely experiencing a third-degree heart block. In a third-degree heart block, there is no correlation between atrial activity (the P wave) and ventricular activity (the QRS complex). This means that the atria and ventricles are not communicating properly, leading to a decreased heart rate.