ECG of the Week - 29th September 2014

This week's ECG is from a 60 yr old male who presented with 3 days of vomiting & diarrhoea.
Past medical history of hypertension and mild chronic renal impairment.
Thanks to Dr Anand Senthi for sharing this ECG case.

Click to enlarge

Things to think about

• What's does the ECG show
• What investigations are you going to do ?
• How are you going to treat him ?